M EDICINE, AND surgery in particular, is trending toward less invasive procedures, reduced morbidities, and quicker recovery times. Cholecystectomies that used to be performed through a large abdominal incision and required a 7-day hospital stay are now done laparoscopically, which allows patients to be home by that evening. As simpler, less invasive, more effective treatments have been develop...

BACKGROUND Re-establishing nasal tip projection is one of the main objectives in secondary rhinoplasty. The columellar strut is used as a basic element for support and the septal cartilage graft as the first choice for reconstruction. Nevertheless, the septal cartilage is often missing in this category of patient because of previous surgery, obliging the surgeon to seek a safe, effective, and v...

BACKGROUND Rhinoplasty has traditionally been preferred for correction of nasal defects. Long-term clinical experience with hyaluronic acid (HA) injection as an alternative or complement to rhinoplasty is presented. METHODS A retrospective review of the author's clinical experience with HA gel for nasal reshaping from 1997 to 2012 was conducted, with treatments performed during 1998, 2005, an...

BACKGROUND There is a growing concern in the field of aesthetic surgery about the need to measure patients' expectations preoperatively. The present study was designed to develop and validate the Expectations of Aesthetic Rhinoplasty Scale (EARS), and to compare expectations between rhinoplasty patients with and without body dysmorphic disorder (BDD). METHODS In total, 162 college students an...

BACKGROUND Edema and ecchymosis are common complications of rhinoplasty. Modifications to osteotomy may reduce edema and ecchymosis and ameliorate postoperative discomfort in patients who undergo rhinoplasty. OBJECTIVES The authors performed osteotomy with conventional instruments or with an ultrasonic device and compared these methods with respect to the severities of ecchymosis and edema in...

METHODS: We performed a retrospective review of consecutive rhinoplasty patients. Patients with internal nasal valve insufficiency who underwent an open or closed approach functional rhinoplasty between 2007 and 2016 were studied. The Cottle test and NOSE survey was used to assess nasal obstruction. Patient reported symptoms were recorded. Acoustic rhinometry was performed preand postoperativel...

IntroductIon: The pyriform anatomy is sometimes underestimated and overlooked during patient evaluation for rhinoplasty. Several methods have been described to address the pyriform area and alter its anatomy. Among these methods are placement of paranasal implants, injectable, fat or cartilage grafting, orthodontic management with or without orthognathic surgery. We propose an objective approac...

BACKGROUND Alar rim deformities such as retraction, notching, collapse, and asymmetry are common problems in rhinoplasty patients. Although alar rim deformities may be improved through rhinoplasty, this area is prone to late changes because of scarring of the soft triangles and a paucity of native structural support. The purpose of this study was to analyze the effect of alar contour grafts on ...

BACKGROUND Secondary rhinoplasty after a cleft lip repair remains a significant challenge. We have developed a technique in which resorbable plates are used to support the cleft alar cartilage to minimize relapse. There are few guidelines by which one can objectively assess the outcome of cleft rhinoplasty over time. This study attempts to demonstrate a means by which the symmetry and form of t...