As a growing segment of our population, mature patients seeking rhinoplasty for both functional and aesthetic reasons will increasingly be encountered by the facial plastic surgeon. The aging process is characterized by a gradual derotation and deprojection of the nasal tip. This article provides an overview of versatile and proven techniques that may be applied to the majority of aging nose rh...

Introduction: Although the psychological aspects of rhinoplasty have been fully investigated in the medical literature, the religiosity of rhinoplasty candidates has not been taken into consideration. Materials and Methods: In this cross-sectional study, the religious attitudes of 157 rhinoplasty candidates were compared with those of 74 subjects who had not requested rhinoplasty. A domestic v...

BACKGROUND One of the most common cosmetic surgeries is rhinoplasty. Iran has the highest rate of rhinoplasty, worldwide. The aim of this study was to compare the demographic characteristics of patients’ undergone rhinoplasty during two-time-period with a 10-year-interval in a single surgical center in Isfahan, Iran. METHODS In a retrospective study, data of the patients who were sched...

IMPORTANCE The extended columellar strut-tip graft was designed to improve nasal tip projection and tip definition in patients undergoing rhinoplasty. OBJECTIVE To determine whether the extended columellar tip graft leads to a true and measurable increase in nasal tip projection or simply gives the illusion of an increase in projection. DESIGN Retrospective case review. The mean time of fol...

BACKGROUND Spreader grafts are widely considered to be the mainstay of treatment for insufficient internal nasal valve and are commonly placed preventively during rhinoplasty, after hump removal, to avoid middle vault collapse. Although the placement and suturing of spreader grafts in open rhinoplasty is fairly easy, their positioning and stabilization in endonasal rhinoplasty is associated wit...

INTRODUCTION  Anthropometric proportions and symmetry are considered determinants of beauty. These parameters have significant importance in facial plastic surgery, particularly in rhinoplasty. As the central organ of the face, the nose is especially important in determining facial symmetry, both through the perception of a crooked nose and through the determination of facial growth. The evalua...

INTRODUCTION Facial plastic and reconstructive surgery involves the use of surgical procedures to achieve esthetic and functional improvement. It can be used for traumatic, congenital, or developmental injuries. Medicine, with an emphasis on facial plastic surgery, has made progress in several areas, including rhinoplasty, providing good long-term results and higher patient satisfaction. OBJE...

The use of five fluorouracil (5 FU) as antifibrotic started in the 1960s, in hands of ophthalmologists, to prevent adherence after glaucoma and pterigion surgery. In 1999 Fitzpatric presented his experience in keloids and hypertrophic scars, making a great contribution to their treatment. Fibroblasts main function is collagen synthesis; in vicious scar the amount of collagen is normal, but what...

BACKGROUND There are numerous methods to mold and shape cartilage grafts for use in rhinoplasty. Each technique has advantages and disadvantages. We are going to introduce a new method for cartilage shaping with long lasting effects confirmed by follow up examination and pathologic evaluation. METHODS Grated cartilage was used in 483 patients. For 89 cases, it was wrapped in fascia and in 394...

BACKGROUND The use of interdomal sutures for tip refinement is common in open rhinoplasty and in endonasal rhinoplasty using a delivery technique, but there is paucity of reports in the literature regarding the use of interdomal suturing techniques when the nondelivery endonasal approach is chosen. OBJECTIVE The authors describe a technique designed to refine the nasal tip with an interdomal ...