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...

LEARNING OBJECTIVES After reading this article, the participant should be able to: 1. Discuss desired preoperative aesthetic and functional assessment of the postsurgical nose with rhinoplasty patients. 2. Identify factors that have the potential to affect procedural outcomes. 3. Develop an operative plan to address aesthetic goals while preserving/improving nasal airway function. 4. Recognize ...

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...