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The incidence of postoperative nasal deformities requiring secondary rhinoplasty varies from 5% to 12%. The etiologies of postoperative nasal deformities ( Table 7-1 ) are usually related to one or…

The nationally reported revision rate for primary rhinoplasty ranges from 8% to 15%. Unfortunately, there will likely never be a shortage of patients requiring revision rhinoplasty. Experienced surgeons consistently achieve…

Surgical refinement of the nasal tip is considered by many to be one of the most challenging components of rhinoplasty. At the heart of the challenge is the need to…

Rhinoplasty surgery requires a robust understanding of the surgical anatomy and physiology of the nose and nasal airway. Only by building on this solid foundation can a rhinoplasty surgeon adjust…

One of the most important and difficult aspects of rhinoplasty surgery is creating a nicely shaped, natural-appearing nasal tip. This generally involves altering nasal tip definition, width, projection, and/or rotation….

The vestibular mucosa is exposed and the excess cartilage is precisely sculpted to reshape the lower lateral cartilage. The cartilage is removed from the nose, preserving an intact strip of…

Introduction Nasal analysis in the setting of the preoperative consultation is undoubtedly one of the most critical elements of the rhinoplasty process. This is the time in which the patient…

General Principles Maintaining or achieving structural integrity of the nasal form is a formidable task in rhinoplasty and nasal reconstruction. Maintaining the form and function of the nose is an…

Controlling the shape of the nasal tip can be one of the most challenging problems rhinoplasty surgeons face in practice. Prior to the advent of suture techniques, the cartilages of…

The importance of the middle third of the nose has been increasingly recognized in recent years. Reductive rhinoplasty techniques performed without regard for the structural integrity of this region can…