LEARNING OBJECTIVES After reading this article, the participant should be able to: 1. Understand the challenges in restoring volume and structural integrity in rhinoplasty. 2. Identify the appropriate uses of various autografts in aesthetic and reconstructive rhinoplasty (septal cartilage, auricular cartilage, costal cartilage, calvarial and nasal bone, and olecranon process of the ulna). 3. Id...

UNLABELLED Rhinoplasty Outcome Evaluation (ROE) is an easy-to-use questionnaire that allows comprehensive assessment of rhinoplasty-related patient satisfaction. However, normal values for this questionnaire are not known. OBJECTIVE To translate and cross-culture adapt the Rhinoplasty Outcome Evaluation questionnaire to Brazilian Portuguese and to establish normality parameters. MATERIALS A...

Rhinoplasty is one of the most common and challenging cosmetic procedures. One of the complications of rhinoplasty associated with dissatisfaction is nasal obstruction, which is often due to narrowing of the nasal valve area. Application of certain procedures such as turbinoplasty can prevent and correct this problem. This study aim was to investigate the effect of inferior turbinoplasty in red...

Rhinoplasty is indicated for improving nasal breathing, the appearance of the nose, mental well-being and self-confidence. In rhinoplasty, the most important factors are the surgeon's experience and sense of balance and beauty. Facial beauty is related to balance and the symmetry of different parts of the face, including the nose. Balance can be achieved by augmentation or reduction of the vari...

Optical magnification has become an essential tool in rhinologic practice, especially following the popularisation of endoscopic procedures for nasal sinus surgery. We describe the use of VITOM® technology in rhinoplasty, which to our knowledge has not been reported in the international literature to date. This approach to rhinoplasty markedly improves visualisation of the surgical field, there...

OBJECTIVE To determine satisfaction, change in self-esteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty. Patients African American male (n = 21) and female (n = 54) patients aged 14 through 58 years (mean, 33.8 years) who underwent rhinoplasty. METHODS Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An ano...

BACKGROUND Rhinoplasty "open" represents a surgical technique to access to the internal structures of the nose; it is an alternative to more traditional "closed" rhinoplasty. However, both these techniques have some advantages and some disadvantages. In this work the authors describe a case that shows the steps of a new surgical technique: the "semi-open" rhinoplasty. METHODS The "semi-open" ...

In contemporary orthognathic surgery, correcting the functional aspects of dentofacial deformities is our main focus, but, if the esthetic outcome is not improved, we often face serious patient dissatisfaction. Many adjunctive soft tissue procedures can be used to either enhance the esthetics of orthognathic surgical cases or overcome the deleterious effects of our surgical procedures. Procedur...

The nasal profile and skin thickness in the Caucasian Indian vary from the Oriental Chinese or Malay noses. Reduction rhinoplasty is more common in the Caucasian Indian noses whereas augmentation rhinoplasty is more common in the Oriental Chinese or Malay noses. Graft selection remains the greatest challenge for surgeons performing rhinoplasty. However, the preferred choice as far as possible f...

SUMMARY There has been a tremendous growth of cosmetic surgery among Asians worldwide. Rhinoplasty is second only to blepharoplasty in terms of popularity among Asians regarding cosmetic surgical procedures. Most Asians seek to improve their appearance while maintaining the essential features of their ethnicity. There are considerable ethnic nasal and facial variations in this population alone....