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 ...

Background: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision di-vides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertic...

Abstract Background Large language models (LLMs) are emerging artificial intelligence (AI) technology refining research and healthcare. The impact of these on presurgical planning education remains under-explored. Objectives This study aims to assess 3 prominent LLMs – Google’s AI BARD (Mountain View, CA), Bing’s (Microsoft; Redmond, WA), ChatGPT-3.5 (Open AI; San Francisco, CA) in providing sa...

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...

Methods: Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, selfesteem, and nasofacial harmony. The rate of complications was determined by medical record review. Results: On a scale of 1 to 5 (1, no change; 5, complete change), patients reporte...