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…

Calvarial bone grafting is an established method of craniofacial reconstruction in facial plastic surgery. Konig and Muller were the first to describe autogenous calvarial bone grafting in 1890, advocating a…

Over the past two decades, great improvements have been made in the design of facial implants. Facial implants are able to enhance facial contour and provide permanent volumetric replacement. Facial…

Often unappreciated in rhinoplasty is the alar–columellar complex. Patients may present with a preexisting hanging or retracted columella or abnormal alar rim or columellar shape and configuration. In the patient…

The use of rib grafting in rhinoplasty has revolutionized the ability to treat complex nasal deformities. Its can be helpful for both primary nasal deformities (including posttraumatic, cocaine induced, and…