When it comes to the subject of rhinoplasty, many authors trivialize or overlook the role of nasal skin in cosmetic nasal surgery. Instead, interest is directed at the nasal skeleton…

General Considerations The crooked nose is neither a single entity nor a specific description. Crooked noses represent a spectrum of nasal deformities, most commonly of traumatic origin, that are associated…

A saddle nose deformity derives its name from the appearance of the nose on lateral view as the dorsal curve resembles the depression in a horse’s saddle. The gross deficiency…

Introduction From the Edwin Smith Surgical Papyrus to the Sushruta legacy to early nasal surgery techniques, the roots of modern-day rhinoplasty stem from the early beginnings of nasal reconstruction. Early…

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…