Everything About Rhinoplasty

Alar Retraction: Etiology, Treatment, and Prevention

AbstractObjective: to determine etiology and treatment of alar retraction based on a series of specific rhinoplasty maneuversDesign: retrospective review of a single surgeon&rsqu...

Nasal septal deviation in the pediatric and adult populations

AbstractA significant proportion of the population has nasal septal deviation of varying degrees. Recent reports of such deviation occurring at younger ages suggest a congenital...

Finesse Rhinoplasty

Raj Kanodia MD, FACS , Anil R. Shah MD, FACSIntroduction:Rhinoplasty is the most challenging operation in plastic surgery. First of all, the anatomy in each nose is distinct...

Nasal Reconstruction of the Leprosy Nose Using Costal Cartilage

Anil R. Shah MD, Daniel Zeitler MD, and Jeffrey B. Wise MD*Anil R. Shah MDClinical Instructor, Division of Facial Plastic Surgery, Section of Otolaryngology, University of Chicago...

Open Septoplasty: Indications and Treatment

Mohamad Chaaban, MDa, Anil R. Shah, MDb,*a Department of Otolaryngology, Head and Neck Surgery, University of Chicago Hospitals, 5841 S Maryland Avenue E-102, Chicago, IL 60637, US...

Concentric And Eccentric Carved Costal Cartilage

A Comparison of WarpingDavid W. Kim, MD; Anil R. Shah, MD; Dean M. Toriumi, MDObjective: To determine if a systematic, concentric graftcarving technique results in less warping th...

Anatomy of the Nose | Rhinoplasty Information

Rhinoplasty anatomy and analysis often go hand in hand. It is important to know anatomic terms so that communication between surgeon and patient can be facilitated. The description...

Congenital Anomalies of The Nose

Christina J. Laane, MD / Anil R. Shah MDCONGENITAL MIDLINE NASAL MASSESCongenital midline nasal masses, which include nasal dermoid cysts, nasal encephaloceles, and nasal gliomas...

Open Rhinoplasty

Open Structure Rhinoplasty ChapterHistory of open rhinoplastyOn the surface, open, or external rhinoplasty differs from endonasal rhinoplasty by just a single incision along the mi...

Quantitative Comparison Between Microperforating Osteotomies and Continuous Lateral Osteotomies in Rhinoplasty

Richard A. Zoumalan, MD; Anil R. Shah, MD; Minas Constantinides, MD Objective: To determine the difference in nasal bone narrowing between 2 techniques: the low lateral intranasal...

Aligning the bony nasal vault in rhinoplasty

The bony nasal vault represents a complex three dimensional structure. With a widely divergent spectrum of nasal bony deformities, use of a single technique will often result in in...

Loss of smell

The ability to smell is often taken for granted. Not only are there many life enhancing odors such as the smell of fresh baked goods from a bakery or a rose garden in the spring, b...

How much does a rhinoplasty cost?

The cost of cosmetic surgery is dependent on several factors. First of all, the location of the surgery will have a major impact on cost. Generally speaking, the same p...

Crooked Nose Suture, Suture Suspension Technique

How I Do It: Treating the crooked nose with a suture suspension technique (Adapted from previous publication)Steven H. Dayan MD, FACS and Anil R. Shah MDPresented at the Foundation...

Tip Rhinoplasty Chicago | Cartilage Splitting Techniques

Cartilage splitting techniques in rhinoplastySpecific Applications of Cartilage Splitting Techniques in Tip PlastyDivision of lower lateral cartilages in rhinoplasty has long been...

Structural approach to endonasal rhinoplasty

Without question, the introduction of open rhinoplasty has increased the emphasis on preservation and support of existing structure in rhinoplasty. The unparalleled view afforded b...

Repair Of Small To Medium Sized Nasal Defects

INTRODUCTIONReconstruction of small and medium-sized defects of the nose poses a challenge to the facial plastic surgeon. Every Mohs repair is inimitable based on the unique charac...

Analysis of Vector Alignment with the Zitelli Bilobed Flap :A Comparsion Of Flap Dynamics in Human Cadavers

Richard A. Zoumalan, Caryl Hazan, Vicki Levine, Anil R. Shah** Corresponding AuthorDepartment of Otolaryngology-Head and Neck SurgeryDivision of Facial Plastic and Reconstructive...

Deviated Nose

Crooked nose deformityWhy is a crooked nose deformity so difficult to fix?Mainly because there are so many areas where tissues can relapse. Cartilage has memory and aggressive sept...

Male Rhinoplasty

Una publicación compartida de Anil Shah MD (@shahaesthetics) el Dic 14, 2017 at 2:43 PST“A rhinoplasty should look something created from nature. Abnormal curve...

Saddle Nose Deformity

Saddle Nose Deformity is a condition where the support of the nose is weakened whereby the nose is “saddled” in the middle. This deformity has also been called a boxer&...

Rhinoplasty Type – Finesse Rhinoplasty

Finesse rhinoplasty is where specific small changes are made to a nose to fine tune it and improve its appearance. As opposed to other rhinoplasty or nasal reshaping ...

Middle Eastern Rhinoplasty في منطقة الشرق الأوسط Rhinoplasty

Middle Eastern noses may have thicker more sebaceous skin, ptotic or drooping tip, wider nasal tip and a dorsal hump. The goal of rhinoplasty for any ethnicity is to improve the ap...

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...

Guide to Grafts in Rhinoplasty

Rhinoplasty is the surgical technique of reshaping the nose to improve either its appearance or function. During the course of a rhinoplasty, in some cases grafts may be use...

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...

Bulbous Nasal Tip

The Bulbous Nasal Tip is a term used to describe when the nasal tip is excessively full or heavy.The term bulbous means “fat, round or bulging, or shaped like a bulb”...

Why most non surgical nose jobs are a bad idea?

My mother used to tell me that sometimes a short cut is a long cut. More and more patients are seeking non surgical procedures to avoid surgery. This has revolutionized the face...

Open Septoplasty

Septoplasty is a term used to describe reshaping of the nasal septum for improvement in either the functional airway passage of the nose or to create a straighter appearance. The s...

Nasolabial angle

Columella Labial AngleThe nasolabial angle is calculated by first drawing a point to the bottom of the nose (subnasale). From here a line is drawn to the top of the lip (labrale s...

Determining Nasal Symmetry

Many patients may be seeking more symmetry to their nose. The quickest way to determine nasal symmetry is to create a point halfway between the brows. Create an additional point at...

Nasal Steroid Spray

Nasal steroids can help inflammation of the nasal passageway, in particular to the inferior turbinates. Inflammation is usually a result of allergic rhinitis, a condition affecting...

Nasal Physiology and Physics

For many patients who can't breathe from their nose, the last thing they want to think about is physics. However, it is the precise understanding of several principles in phy...

Nasal obstruction | Chicago Plastic Surgery Defined

Nasal obstruction is a common complaint often termed stuffy nose, nasal blockage, and stopped up nose.Nasal ObstructionNasal obstruction is a common complaint often t...

Rhinoplasty Nasal Exercises

After repair of a crooked nose, deviated nasal bones may remain partially deviated despite complete osteotomies. This can be due to soft tissue memory or shifting of the nasal bone...

Nasal Anatomy

Nasal anatomy plays an important role in both diagnosis and the underlying cause of the nasal problem. A simplified version of external points on the nose are listed to facil...

Asian Rhinoplasty | Cosmetic Surgeon Dr. Anil R. Shah

ASIAN RHINOPLASTY IN CHICAGO, ILAsian Rhinoplasty represents the art of reshaping a nose of Asian ethnicity while maintaining the ethnic identity. I have found that although the u...

Indian Rhinoplasty

The goal of rhinoplasty should not be to change the ethnic appearance of a person, but rather to enhance the attractive features of the face. In most patients, this involves subtle...

Rhinoplasty Philosophy

Rhinoplasty is the term for reshaping the nose. It can be done to make the nose smaller, bigger, wider, narrower, straighter.There are many concepts in rhinoplasty which are specif...

Rhinoplasty Surgery

Rhinoplasty SurgeryPreoperative Preparation see also pre and postop instructionsThe Procedure:Rhinoplasty may be done under IV sedation, local anesthetic, or general anesthesia...

RHINOPLASTY INCISIONS

Columellar Incisionan incision made along the columella in an external rhinoplasty approach. The columellar incision is typically made midway between the nostril and base of the c...

I broke my nose, now what?

A nose is the most commonly broken bone in the body. You may have broken it in the past and not even realized it.The timing of the repair of the fracture depends on several issues...

Rinoplastia

La rinoplastia es quizás la operación más difícil a realizarse en cirugía plástica facial. Cada nariz es diferente así que el ciruj...

Septal Perforation

Septal perforation, is a term used to describe a hole or opening within the nasal septum. While some septal perforations can be asymptomatic, some can create issues including nasal...

Preoperative Preparation

List of Medications andSupplements to Avoid Avoid medications which can thin the blood (blood thinners). To ensure the least possible “black and blue” discolor...

Nasal Obstruction: Turbinates

What are turbinates and how do they impact breathing? Turbinates are a normal, anatomic structure in the nose which serve to humidify and filter air. There are three sets of turbi...

Turbinate Coblation

The inferior turbinates are important structures in the lower portion of the nose. The inferior turbinates main goal is to filter air and help humidify the air we breathe. In some...

Rib Rhinoplasty – Costal cartilage grafting

What is costal cartilage grafting? Rib RhinoplastyCostal cartilage grafting is the harvest of cartilage from the cartilaginous portion of the rib. The rib is harvested throug...

Cartilage Grafting from the Ear to the Nose

Auricular cartilage grafting and rhinoplasty and nasal reconstructionWhat is auricular cartilage grafting?Auricular cartilage grafting is taking cartilage from the ear to reconst...

Plumping Graft

A plumping graft is placed at the nasolabial angle and is used to augment the area in or around the nasal spine. These grafts can make a long nose look shorter by an optical illusi...

Composite Graft

A composite graft is a combination of two materials, typically skin and cartilage. This graft is used in patients with alar retraction, where the nostril retracts. In some of these...

Dorsal Augmentation Grafts | Chicago Rhinoplasty Grafts

Dorsal augmentation grafts are used to augment the nasal dorsum. Autogenous substances are preferred over alloplastic materials (Dr. Shah does not use alloplastic materials).Septal...

Radix Grafts | Chicago Rhinoplasty Grafts

Radix grafts are grafts placed in the superior portion of the nose, aka where the nose meets the forehead. The purpose of radix grafts to change the angle that the dorsum so...

Onlay Grafts | Chicago Rhinoplasty Grafts

Onlay grafts are grafts which are laid on top of an area. Theoretically, this graft can be placed anywhere within the nose. Most often this graft serves to augment an area which i...

Columellar Struts

Columellar struts are used to help support the nasal tip. Their use in rhinoplasty is for patients where projection is to be maintained or slightly projected.Columellar stru...

Caudal Extension Graft

A Caudal Extension Graft is a versatile graft used in rhinoplasty. It serves as a fixed graft to the nasal septum and effectively adds size to a septum. It can be used in cases of...

Shield Grafts

Shield grafts are useful in patients lacking projection in the nasal tip lobule. The name shield is given due to the shape which is similar to a shield. There are a variety of othe...

Lateral Crural Strut Grafts

“The nose should fit the face”A strong jawline would suggest a stronger nose.Lateral crural strut grafts are grafts used in rhinoplasty to support the lateral crus. The...

Spreader grafts

Spreader grafts are used to widen the middle vault of the nose. They are placed between the upper lateral cartilage and the dorsal septum. These grafts are useful in pati...

Alar Rim Grafts

Alar rim grafts, also known as alar contour grafts, are grafts used in rhinoplasty to improve the triangularity of the nose. Grafts are placed in the most caudal aspect of the nas...

Alar Batten Grafts | Chicago Rhinoplasty Grafts

Alar batten grafts are grafts used to fortify the nasal airway and prevent collapse. The name alar batten comes from the word alar (which is part of the nasal ala) and batten (whi...

Everything & Anything About Rhinoplasty

Rhinoplasty Glossary