Nasal tip surgery has become significantly more complex since the introduction of tip grafting and the many suture designs that followed the resurgence of open rhinoplasty. Independent of the surgeon's technical approach, however, is the need to identify the critical anatomical characteristics that will make nasal tip surgery successful. It is the author's contention that only two such features...

The spectrum of indications for rhinoplasty in Indian patients is very wide. An ill-defined nose with lack of projection and broad osteocartilagenous framework is the commonest problem. A large number of patients require narrowing of the framework by osteotomies, alar wedge resection, and augmentation by a suitable fill, preferably a cartilage graft. The technique of rhinoplasty in Indian patie...

INTRODUCTION: Orthognathic surgery can have significant effects on the nasolabial envelope, which may or may not be desirable.1–3 While orthognathic surgery is sometimes the definitive procedure, it can also be performed with adjunctive rhinoplasty, either concurrently or in a staged fashion. The purpose of this study is to evaluate and develop an algorithm for the use of adjunctive rhinoplasty...

Both functional and cosmetic rhinoplasty in the elderly require a different surgical approach due to the morphological and structural changes of the nose that are connected to the aging process. Such processes determine changes of all anatomical structures that form the aesthetic-functional unit. In particular thinning of the skin envelope becomes apparent with pores dilatation and increased se...

There are a number of types of rhinoplasty techniques. It is clear that the open rhinoplasty approach has advantages in treating complex and difficult nasal deformities, because it allows a great range of nasal structures to be directly viewed. However, a transcolumellar incision may be troublesome [1]. The closed approach appears to be especially useful for simple nasal surgery. The surgeon’s ...

BACKGROUND Hump reduction in aesthetic rhinoplasty destabilizes the middle vault. Secondary maneuvers are necessary to avoid the long-term functional and aesthetic sequelae of middle vault collapse. We describe a new technique of reinserting the resected hump that combines (a) placement of the modified hump between the upper laterals and (b) bridging sutures between the upper laterals. METHOD...

Rhinoplasty is rarely complicated with infection. We present a case of necrotizing periorbital cellulitis that developed in an 18-year-old woman following aesthetic rhinoplasty. The clinical manifestations consisted of swelling of the eyelids and necrosis of the lower eyelid regions, accompanied by high fever. Streptococcus pyogenes was isolated from the wound. The patient responded well to adm...

background: rhinoplasty is the most common cosmetic surgery which has been dramatically increasing in iran. currently, iran is ranked the first in the world in rhinoplasty. in the present study, we aimed to assess the character and temperament traits of the applicants referred to rhinoplasty surgeons in shiraz, southwest iran in 2015. methods: in this cross-sectional study, we recruited 500 par...