BACKGROUND Considering that revision rhinoplasty is one of the most difficult plastic surgical procedures, evaluating patient satisfaction is fundamental in order to determine success and identify variables that may affect the outcomes. Our first study objective was to determine satisfaction levels in revision patients and to compare results with those obtained in primary rhinoplasty patients. ...

UNLABELLED Rhinoplasty is one of the most challenging surgical procedures, due both to the diversity of the techniques and to the difficulty in foreseeing long-term outcomes. Each patient has a different nasal anatomy, dictated by genetic inheritance--race, thus requiring a different technique for each case. The international literature emphasizes the techniques used for the Caucasian nose, whi...

OBJECTIVES/HYPOTHESIS To measure patient quality of life after rhinoplasty in regard to nose appearance and function with use of the modern structural and functional surgical approach. STUDY DESIGN Retrospective chart review at a tertiary referral center. METHODS We performed a retrospective chart review with prospective follow-up. All patients with rhinoplasty in the past 5 years by the se...

OBJECTIVES In this report, we present the usage of a "modified flying wing" procedure for different indications such as correction of primary supratip depression and saddle nose deformity due to prior septal surgery or prior trauma, and also for prevention of possible supratip deformity. PATIENTS AND METHODS Between April 2004 and January 2008, the "modified flying wing" procedure was used in...

OBJECTIVE To describe the interdomal fat pad, an important anatomical structure that, to our knowledge, has not been reported in the rhinoplasty literature. DESIGN Anatomical observations were made during a consecutive series of external rhinoplasties, and the existence of the interdomal fat pad was documented in patients with noses of varying nasal skin thicknesses. SETTING Private facial ...

BACKGROUND The author has used diced cartilage grafts in nasal surgery for more than 30 years. However, the number of cases and the variety of techniques have increased dramatically over the past 6 years. METHODS The author uses three methods of diced cartilage in rhinoplasty surgery: diced cartilage, diced cartilage wrapped in fascia (with fascia then sewn closed), and diced cartilage covere...

Background: The external rhinoplasty approach is one of the methods in nasal surgery. The external approach can be advantageous by offering better exposure to a small surgical field. This approach allows the surgeon to better diagnose the deformity through inspection, to better execute certain maneuvers, and to teach and learn the operation with greater ease. A conspicuous columellar scar is re...

BACKGROUND Trends in rhinoplasty techniques have seen a significant shift from closed to open over the last decade.1,2 The ideal surgical approach for rhinoplasty continues to be debated amongst aesthetic surgeons. Each technique has its merits. Open rhinoplasty is deemed the procedure of choice in all but the simplest rhinoplasties, reserving the traditional closed approach for hump reduction ...

Irregularities in the nasal contour of patients who underwent multiple surgeries are frequently related also by skilled surgeons. The aim of this study was to describe the method of harvesting and the primary applications of erichondrium grafts in revision rhinoplasty to prevent postoperative irregularities.Conchal grafts were used in the reconstruction of structures missing as a result of rhin...

BACKGROUND Filler materials are gaining popularity in nonsurgical rhinoplasty the major advantages are the ability to camouflage the surface deformities, and also the soft and malleable consistency; while the major drawback of the safe fillers such as hyaluronic acid is short durability. In this study, we evaluated the injectable cartilage shaving as an autologous filler material for correction...