Corresponding Author: Gianpiero Gravante, MD; e-mail: [email protected] Dear Editor, materials and techniques used for nasal reconstructions have always been a matter of discussion and still no clear guidelines are present. In the beginning, autologous cartilage grafts were extensively used for its low resorption and complication rates1-2. Recently, authors have preferred synthetic material...

Rhinoplasty in the aging patient poses a unique set of challenges to the plastic surgeon. Aging patients usually have different expectations and motivations than their younger counterparts; therefore, open communication and frank discussions are paramount to define realistic goals. Anatomically, changes in skin quality, cartilage characteristics, underlying bony framework, and the nasal airways...

A 25-year-old woman was referred for discomfort when breathing through her left nose. The patient had undergone augmentation rhinoplasty 5 years ago, after which hypertrophic scarring occurred in the nostril. Several corticosteroid injections were administered as first line of treatment, but with no symptom improvement. Therefore, we proceeded surgical scar removal, use a nasal conformer. Howev...

41e Patients undergoing rhinoplasty occasionally require a decrease in nasal tip projection. Accomplishing such an objective requires a comprehensive working knowledge of nasal anatomy and function. Maneuvers executed to simply gain exposure during open or closed rhinoplasty can influence final position of the nasal tip. Failure to recognize and account for any alterations in tip support struct...

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...

Dallas, Texas; and São Paulo, Brazil Background: Reconstruction of the nasal osseocartilaginous framework is the foundation of successful secondary rhinoplasty. Methods: Achieving this often requires large quantities of cartilage to correct both contour deformities and functional problems caused by previous procedures. Satisfactory and consistent long-term results rely on using grafts with low ...

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...