Rhinoplasty

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 obstruction, crusting, pain, and epistaxis. There are many cause of septal perforation: Septal surgery Septal hematoma Cocaine Intranasal drug use Infection Autoimmune Disorders Nose picking Violent… [Read More]

What is costal cartilage grafting?  Costal cartilage grafting is the harvest of cartilage from the cartilaginous portion of the rib. The rib is harvested through an incision along the chest wall to remove the cartilage portion of the rib, leaving behind the bony portion of the rib. Typically the fifth or sixth rib are used… [Read More]

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 cartilage can be layered to create moderate dorsal augmentation. In some cases, costal cartilage is utilized, where the graft can be carved to improve the shape of the dorsum. Auricular… [Read More]

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 that it is not too low on the face.  This allows for a longer more elegant nose in some instances.  Radix grafts can… [Read More]

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 is deficient in cartilage which would otherwise cause a depression. When using an onlay graft it is important to make sure that the… [Read More]

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 struts can be used with either an endonasal approach or external approach.  The main disadvantage of columellar strut is that the graft floats and is not attached to… [Read More]

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 deviation of the nose as well as in cases which require adjustment in length, projection, size and can be placed both… [Read More]

Lateral crural strut grafts are grafts used in rhinoplasty to support the lateral crus. They are placed underneath the lower lateral cartilage in an effort to reshape or repositon the lower lateral cartilage. In patients with overly concave cartilage, this graft will help to decrease this appearance, but an lateral crural graft may be preferable…. [Read More]

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 nasal ala in an effort to prevent a pinched nose appearance. The grafts are also helpful in improving the transition from an area of… [Read More]