A Comparison of Warping David W. Kim, MD; Anil R. Shah, MD; Dean M. Toriumi, MD Objective: To determine if a systematic, concentric graftcarving technique results in less warping than eccentric carving. Methods: Costal cartilage from ribs 3 through 9 were harvested from fresh human cadavers. Concentric dorsal grafts were carved from cartilage obtained from… [Read More]
Rhinoplasty
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 descriptions of anatomy and analysis have been oversimplified so that the layperson can understand some of the basic definitions and learn some techniques to analyze a nose. Planning… [Read More]
Congenital Anomalies of The Nose
Christina J. Laane, MD / Anil R. Shah MD CONGENITAL MIDLINE NASAL MASSES Congenital midline nasal masses, which include nasal dermoid cysts, nasal encephaloceles, and nasal gliomas (Figures 9–1, 9–2 and 9–5), are rare malformations; one occurs in 20,000–40,000 live births in the United States. Frontoethmoidal encephaloceles are more common in Southeast Asia, with one… [Read More]
Open Rhinoplasty
Open Structure Rhinoplasty Chapter History of open rhinoplasty On the surface, open, or external rhinoplasty differs from endonasal rhinoplasty by just a single incision along the midcolumella. However, both of these operations are based on vastly different core philosophies. Since its modern application, open rhinoplasty has emphasized structure and support. (1) Since then, rhinoplasty as… [Read More]
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 perforating osteotomy technique and the low lateral continuous osteotomy technique. Methods: A retrospective analysis of preoperative and postoperative photographs to determine the changes of the dorsal width of… [Read More]
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 inconsistent results. Recognition of the underlying geometric osseous form allows the surgeon to utilize a ratiocinative approach in addressing deformities of the upper one third of the… [Read More]
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, but the ability to smell can warn of life threatening dangers such as a nearby fire or spoiled food. Most… [Read More]
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 procedure performed in the Midwest will cost less than either the west or east coasts. Increased expertise and reputation of the surgeon can also result in… [Read More]
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 MD Presented at the Foundation For Facial Plastic Surgery, Newport Seminars, August 6-10, 2003. Correcting the crooked nose deformity can be a formidable task. Diagnosing the anatomical cause for… [Read More]
Tip Rhinoplasty Chicago | Cartilage Splitting Techniques
Cartilage splitting techniques in rhinoplasty Specific Applications of Cartilage Splitting Techniques in Tip Plasty Division of lower lateral cartilages in rhinoplasty has long been maligned for producing unnatural results and unpredictable outcomes. The original manifestation of this technique resulted from the Goldman tip rhinoplasty, stereotyped by the narrowed, pinched appearing noses of previous decades. However… [Read More]