“Alar Base Refinement” Minas S. Constantinides MD and Anil R. Shah MD Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology: Head & Neck Surgery, New York University School of Medicine Introduction / background The alar base plays an important role in the overall appearance and proportion of the nose. An overly wide or… Read More
Harvesting Costal Cartilage
Harvesting costal cartilage or rib cartilage for rhinoplasty can be done with a small incision in specific cases. Dr. Shah typically uses an incision from 1-3 cm in size, limiting the size of the scar when possible. Factors which allow a smaller incision include female patients, thinner patients, younger patients and patients without breast implants. In female… Read More
Endonasal Revision Rhinoplasty
Revision rhinoplasty is perhaps one of the most difficult procedures performed. Most surgeons who perform revision rhinoplasty will do so through an open rhinoplasty approach. Endonasal rhinoplasty is where incisions are made entirely within the nose. In some cases, endonasal revision rhinoplasty will be preferred to open rhinoplasty for revision rhinoplasty. This must be determined… Read More
Cartilage Grafting from the Ear to the Nose
Auricular cartilage grafting and rhinoplasty and nasal reconstruction What is auricular cartilage grafting? Auricular cartilage grafting is taking cartilage from the ear to reconstruct the nose. Typically grafts are taken from the concha cymba and cavum of the ear (MARKED IN RED) to remove cartilage without changing the overall shape of the ear. The skin… Read More
Case Study in Revision Rhinoplasty
S is a beauty pageant contestant and seeking to be a model. She unfortunately had an injury some years ago during cheerleading which led to a broken nose and deviated septum. She had difficulty breathing and did not like the shape of her nose. She underwent a rhinoplasty by a Chicago based plastic surgeon (not… Read More