Rhinoplasty is one of the most difficult aesthetic surgery procedures with a high rate of revision. In revision rhinoplasty the surgeon should explore the patient's concerns and then verify the possibility to satisfy expectations after complete internal and external examination of the nose. For the vast majority of complex secondaries, an open approach is the only reasonable method. In fact, in...

Facial Plastic Surgery & Aesthetic MedicineVol. 23, No. 1 Research LetterAssessing the Safety of Topical Epinephrine in Open RhinoplastyAmir A. Hakimi, Khwaja H. Ahmed, Theodore V. Nguyen, Edward C. Kuan, and Brian J.F. WongAmir HakimiBeckman Laser Institute Medical Clinic, University California—Irvine, Irvine, California, USA.Search for more papers by this author, AhmedBeckman NguyenBeckman Ku...

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...

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 ...

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 ...

Abstract Goals/Purpose Control of nasal tip position is critical in final rhinoplasty outcomes. Two frequent methods exerting control are columellar strut and caudal septal extension grafts. Past work has demonstrated that grafts better able to preserve rotation over time. However, there no quantitative data describing long term projection with grafts, which essential the aesthetic result. The ...

BACKGROUND/AIM The objective of this study was to compare the postoperative changes taking place in the nasal senses of patients who underwent a rhinoplasty through the open or closed incision method. MATERIALS AND METHODS In a prospective study, 15 patients had a closed rhinoplasty surgery and 15 others had an open one. By pinpointing 9 spots in the nose, a sensory assessment was made by mea...

Rhinoplasty has undergone important changes. With the advent of the open structure approach, requirements for structural grafting and direct manipulation of the cartilaginous skeleton through suture techniques have increased substantially. The present review analyzes the current literature on frequently referenced structural grafts and suture techniques. Individual techniques are described and ...