SUMMARY Performing secondary rhinoplasty in patients who underwent primary rhinoplasty using a silicone implant is difficult due to thinning of nasal skin and formation of a capsule. Excess capsule formation can cause capsular contracture, resulting in short nose deformity or implant deviation, migration, or implant demarcation. Revision rhinoplasty using a capsular flap, dorsal silicone implan...

UNLABELLED Currently, there is no validated quality-of-life instrument that evaluates both functional and aesthetic outcomes after rhinoplasty. The goal of this study was to develop and validate a comprehensive quality-of-life instrument to assess patient satisfaction with both functional and aesthetic outcomes after rhinoplasty. METHODS The study was designed as a prospective instrument vali...

OBJECTIVE To evaluate the incidence of infection and extrusion of porous high-density polyethylene (pHDPE) and expanded polytetrafluoroethylene (ePTFE) implants used in rhinoplasty at a high-volume, academic facial plastic surgery practice. METHODS A total of 662 rhinoplasty procedures performed by 3 faculty surgeons from 1999 to 2008 were retrospectively reviewed. Patient demographics, medic...

introduction: rhinoplasty is a popular cosmetic surgical procedure. informal statistics show that iran has one of the highest rates of rhinoplasty in the world. however, rhinoplasty like any other surgery can have complications.  materials and methods: in this cross-sectional study, 320 female students were selected by multistage cluster-stratified sampling from high schools in kerman, iran and...

The versatility of the open approach has made it a well accepted technique for routine rhinoplasties. However, there is less enthusiasm in applying the concept to salvage or tertiary nasal procedures. Reluctance to apply the open rhinoplasty approach for these procedures stems largely from concerns with skin viability and redraping after wide undermining. The more limited endonasal dissection i...

Nasal dermoid sinus cysts (NDSCs) are uncommon midline developmental anomalies with an estimated incidence of 1:20,000 to 1:40,000 births.1,2 NDSCs are distinct from dermoids in other regions; they may have an intracranial extension, requiring careful interventional strategies. These lesions can be present anywhere in midline, as sinus or cyst, from glabella to columella, with glabella being th...

OBJECTIVE To determine on an ongoing basis the safety and efficacy of expanded polytetrafluoroethylene (Gore-Tex soft tissue patch and preformed nasal implants) as an implant in rhinoplasty. DESIGN A retrospective study of 309 consecutive patients who underwent rhinoplasty, including augmentation with Gore-Tex, during a 10-year period. SETTING Two major academic medical centers and 2 privat...

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...