2,055 results match your criteria Rhinoplasty Tip Surgery

X-shaped Tip Graft: A Versatile Solution for Warping Correction in Rib Cartilage Based Rhinoplasty.

Aesthet Surg J 2022 Jun 24. Epub 2022 Jun 24.

Department of Plastic Surgery, Chinese Academy of Medical Sciences & Peking Union Medical College, Plastic Surgery Hospital and Institute, Beijing, PR China.

Background: An enduringly stable tip graft is the key to achieve successful rhinoplasty case. However, the intrinsic nature of rib graft warping renders major unpredictability for the long-term outcome.

Objectives: The aim of this study was to detail and validate the utilization of a tip graft that is characterized by the circumferential split on the tip graft, which consequently renders a shape similar to the letter of X (Chi). Read More

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Subdorsal Cantilever Graft for Elevating the Dorsum in Ethnic Rhinoplasty.

Dean M Toriumi

Facial Plast Surg Aesthet Med 2022 May-Jun;24(3):143-159

Department of Otolaryngology-Head & Neck Surgery, Rush University Medical School, Chicago, Illinois, USA.

Augmentation of the nasal dorsum is frequently required in the ethnic rhinoplasty patient to create a narrowing effect and to balance the upper two thirds of the nose with the desired increase in tip projection. The subdorsal cantilever graft (SDCG) provides a method to elevate the nasal dorsum to complement the increase in nasal tip projection. SDCG type A is situated below the bony dorsum and acts to raise the dorsum with limited elevation of the radix. Read More

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The Effect of Nasal Tip Defatting on Skin Thickness in Rhinoplasty: A Quasi-Experimental Study.

Med J Islam Repub Iran 2021 20;35:170. Epub 2021 Dec 20.

ENT and Head & Neck Research Center and Department, Hazrat-e Rasool Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran.

A few studies have been published on the clinical efficacy and safety of nasal tip defatting plus rhinoplasty, particularly among people with bulbous noses. Therefore, the present study aimed to assess the consequences of nasal tip defatting for skin thickness reduction. This quasi-experimental study was performed on 72 consecutive patients, candidates for aesthetic rhinoplasty. Read More

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December 2021

Evolution and Versatility of the Bilateral Extended Spreader Graft: A Review and an Update to the Tongue-and-Groove Technique.

Aesthetic Plast Surg 2022 Jun 7. Epub 2022 Jun 7.

Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine, 3635 Vista Ave. 3rd Floor N, Desloge Towers, St. Louis, MO, 63110, USA.

Background: Initially introduced by the senior author (B.G.) for lengthening the short nose, bilateral extended spreader grafts (BESG) in the form of the tongue-and-groove (TAG) technique have gained additional indications in current septorhinoplasty practice. Read More

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Using the septal shift technique to correct crooked nose deformity.

Harun Karaca

Plast Reconstr Surg 2022 Jun 6. Epub 2022 Jun 6.

Karakoçan State Hospital, Department of Otorhinolaryngology/Head and Neck Surgery, Elaziğ, Turkey.

Background: Crooked nose deformity is defined as any degree of deviation of the anatomical structures involving the nasal bone, upper and lower lateral cartilages, and the septum from the midsagittal plane of the face, in any direction.

Methods: This study introduces a new technique to correct crooked nose deformity. Twenty-six with I-shaped, C- and reverse C-shaped, and S-shaped crooked nose deformity underwent open approach rhinoplasty. Read More

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The "3 Points Compartmentalization" Technique in Subperichondrial-Subperiosteal Dissection in Primary Rhinoplasty to Reduce Edema and Define Contour.

Aesthetic Plast Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Plastic and Reconstructive Surgery, Università degli Studi di Milano, via Festa del Perdono, 7, 20122, Milano, MI, Italy.

Proper control of postoperative edema in rhinoplasty matters significantly, both regarding patient satisfaction and preventing loss of definition and aesthetic surface contour in the dorsum and tip. The "3 points compartmentalization" technique described in this paper aims to fulfill the above goals by (1) dissection in a subperichondrial-subperiosteal plane and (2) reducing the dead space by three strategically placed key sutures that compartmentalize the nose and redrape the single-plane dissection in an anatomically correct position.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. Read More

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Functional and Esthetic Outcomes of L-Shaped Augmentation Rhinoplasty in Indonesian Noses.

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221100026. Epub 2022 Jun 3.

Faculty of Psychology, Universitas Indonesia, Depok, Indonesia.

Objectives: We investigated the satisfaction and nasal airway function of patients who underwent L-shaped augmentation rhinoplasty using rhinoplasty outcomes evaluation (ROE). Nasal obstruction was evaluated using the nasal obstruction symptom evaluation (NOSE) and peak nasal inspiratory flowmeter (PNIF) score. We explored the correlation between tip projection, ROE, NOSE, and PNIF scores. Read More

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Update on Rhinoplasty Research Trends: A Bibliometric Analysis.

Aesthetic Plast Surg 2022 May 31. Epub 2022 May 31.

The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Background: Rhinoplasty is one of the most commonly performed aesthetic surgical procedures. The current study aimed to use bibliometric analysis to qualitatively and quantitatively evaluate rhinoplasty research and determine the research trends and hotspots in this field.

Methods: Publications on rhinoplasty research were extracted from the web of science core collection database. Read More

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Autologous Shuffling Lipo-Aspirated Fat Combined Mechanical Stretch in Revision Rhinoplasty for Severe Contractures in Asian Patients.

Aesthetic Plast Surg 2022 May 23. Epub 2022 May 23.

Department of Natural Products Chemistry, School of Traditional Chinese Materia Medica, Key Laboratory of Structure-Based Drug Design & Discovery, Ministry of Education, Shenyang Pharmaceutical University, Shenyang, 110016, China.

Background: A severely contracted nose is a common occurrence. Intraoperative expansion is not sufficient to soften the severely constricted nasal envelope, which poses challenges in revision rhinoplasty. In recent years, adjuvant therapies, including nasal fat grafting and cell component injection, are applied before revision rhinoplasty to soften the nasal envelope. Read More

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A Modified Large-Cap Graft in East Asian Revision Rhinoplasty.

Aesthetic Plast Surg 2022 May 16. Epub 2022 May 16.

The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Reconstructing a well-defined nasal tip is a big challenge for East Asian patients, especially with nasal tip irregularities or short noses in revision rhinoplasty. This study aims to report our experience with a modified large-cap graft for improving the contour of the nasal tip in revision rhinoplasty.

Methods: A retrospective review was conducted for 91 patients (81 females, 10 males; mean age, 26. Read More

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"An integrated clip-shaped costal cartilage carving approach for rhinoplasty".

J Plast Reconstr Aesthet Surg 2022 Apr 22. Epub 2022 Apr 22.

Department of Plastics and Cosmetic, The Eye Hospital of Wenzhou Medical University, No. 270, West Xueyuan Road, Wenzhou 325000, China. Electronic address:

Background: Nasal tip management is considered to be one of the most complicated and challenging parts of rhinoplasty in East Asian patients. Within current rhinoplasty surgical practice, costal cartilage serves as an ideal source for grafting due to its ability to provide strong support to the nasal tip.

Methods: From March 2013 to December 2021, integrated clip-shaped costal cartilage grafts were applied to patients with primary (n = 12) or secondary (n = 3) short nose deformities. Read More

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Evolution of the Septal Extension Graft in Endonasal Rhinoplasty: Long-Term Efficacy and Reliability.

Aesthet Surg J 2022 May 11. Epub 2022 May 11.

Department of Plastic Surgery, Meir Medical Center, Kfar Saba, Israel affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Proper nasal tip projection and rotation have a strong impact on nasal aesthetics. Septal extension graft is one of the tools used to improve tip projection and rotation when performing rhinoplasty. This graft typically overlaps the existing caudal septum in the midline position, lengthening it and facilitating the repositioning of the tip. Read More

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Supratip suture and skin scoring technique in the patient with thick skin in rhinoplasty.

Am J Otolaryngol 2022 May 6:103481. Epub 2022 May 6.

Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.

Objective: The aim of this study is to demonstrate a new surgical technique to achieve ideal nasal tip rotation and projection with nasal supratip angle in patients with thick skin.

Method: Supratip suture and skin scoring technique was used in 24 patients who underwent open technique septorhinoplasty operation between the years 2019 and 2022. In this technique the nose skin was thinned with scissors. Read More

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Rhinoplasty in adult patients with isolated ala nasi cleft.

J Plast Reconstr Aesthet Surg 2022 Apr 28. Epub 2022 Apr 28.

Otorhinolaryngology Research Center, Department of Otolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Building, Tehran, Iran.

Background: Isolated ala nasi cleft is a very rare anomaly that causes significant esthetic deformity. This anomaly is usually managed in pediatric patients, and the residual deformity is corrected as much as possible in additional stages. Adult patients typically seek management of concomitant nasal deformities that require standard septorhinoplasty. Read More

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Incidence and Predisposing Factors of Postoperative Infection after Rhinoplasty: A Single Surgeon's 16-Year Experience with 2630 Cases in an East Asian Population.

Plast Reconstr Surg 2022 May 6. Epub 2022 May 6.

From the Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, College of Medicine, University of Ulsan.

Background: This study evaluated the incidence and clinical characteristics of postoperative infection following rhinoplasty.

Methods: This article is a retrospective review of 2630 East Asian rhinoplasty cases performed by a single surgeon (Y.J. Read More

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The Columellar Arteries in the Asian Nose.

Facial Plast Surg Clin North Am 2022 May;30(2):143-148

Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand. Electronic address:

The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Read More

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Ferreira-Ishida Technique: Spare Roof Technique B. Step-by-Step Guide to Preserving the Bony Cap While Dehumping.

Plast Reconstr Surg 2022 05 26;149(5):901e-904e. Epub 2022 Apr 26.

From the Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédias Abel Salazar, Universidade do Porto, Hospital da Luz Arrábida; and Plastic Surgery Division, Faculty of Medicine, University of São Paulo.

Summary: For V-shaped nasal bones, the authors consider that ostectomy of the dorsal keystone area can be avoided, and this has led to the development of a new preservation technique: the spare roof technique B (or Ferreira-Ishida technique), where the bony cap is preserved. It includes six main steps, as follows. Step 1, draw on the surface of the skin the desired dorsal brow-tip aesthetic lines, the pyriform aperture, the rhinion, and the amount of triangular bone that has to be taken out to allow pushing-down the bony cap, and the transversal line in the beginning of the nasal hump. Read More

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Preservation Rhinoplasty: Open or Closed?

Aaron M Kosins

Aesthet Surg J 2022 Apr 20. Epub 2022 Apr 20.

Department of Plastic Surgery, University of California, Irvine, Irvine, CA.

Background: Preservation rhinoplasty (PR) is an evolving philosophy.

Objectives: The open approach was used initially, but the author felt a closed approach might be of benefit in certain patients.

Methods: One hundred sixty-two primary rhinoplasty cases were studied retrospectively between January and July 2020. Read More

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Long-Term Outcomes of Secondary Nasal Tip Plasty After Degradation of a Polycaprolactone (PCL) Mesh.

Aesthetic Plast Surg 2022 Apr 18. Epub 2022 Apr 18.

UVOM Plastic Surgery Clinic, Dosan-daero 326, Gangnam-gu, Seoul, Republic of Korea.

Background: In secondary nasal tip plasty, it is often difficult to harvest appropriate septal extension grafts for sufficient tip projection. Therefore, studies using numerous alloplastic materials in rhinoplasty have been reported. This study aimed to evaluate the nasal tip change over time after tip plasty using a PCL mesh. Read More

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Invited Discussion on: Double Layer Lateral Crural Perichondrial Flap for Coverage and Stabilization of Tip Graft.

Aesthetic Plast Surg 2022 Apr 18;46(2):871-872. Epub 2022 Apr 18.

Department of Plastic & Reconstruction Surgery, Stanford U, University of California, San Francisco, USA.

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Presentation Patterns and Surgical Management of the Complications of Thread Rhinoplasty.

Clin Exp Otorhinolaryngol 2022 Apr 8. Epub 2022 Apr 8.

Department of Otorhinolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Korea.

Objectives: Nonsurgical rhinoplasty using threads has gained popularity in recent years. While the benefits of this procedure are being emphasized, possible complications and their management are not well-known. This study aimed to present the surgical management and resultsof the complications of thread rhinoplasty. Read More

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Hybrid Nasal Filler: Combining Agarose Gel and Hyaluronic Acid for Nonsurgical Rhinoplasty.

Plast Reconstr Surg Glob Open 2022 Apr 6;10(4):e4236. Epub 2022 Apr 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.

Given its structural properties, it would be a mistake to assume that a single type of filler fits perfectly to each anatomical region of the nose in nonsurgical rhinoplasty procedures. Therefore, we aimed to develop a hybrid treatment model by applying two different structural types of fillers. Hyaluronic acid (HA), a hydrophilic material, and agarose gel (AG), a nonhydrophilic and high G-prime material, were used in the study according to their advantages and disadvantages. Read More

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Correction of a Secondary Bilateral Cleft Lip Nasal Deformity in Adults Using Repositioning of Both Lower Lateral Cartilages and Nasal Tip Plasty Through an Open Bilateral Reverse-U Incision.

J Craniofac Surg 2022 Mar-Apr 01;33(2):506-511

Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, South Korea.

Background: Correcting a secondary bilateral cleft lip nasal deformity is very complex with many challenges due to its complexity. This study presents the surgical results after correcting a secondary bilateral cleft lip nasal deformity using isolation and repositioning of the lower lateral cartilages, the columellar strut, and an onlay graft on the nasal tip.

Method: Eighteen patients who had bilateral cleft lip nasal deformities and who had surgery performed between September 2013 and December 2019 were included in this study. Read More

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Correction of Severe Secondary Cleft Lip Nasal Deformity.

J Craniofac Surg 2022 Mar-Apr 01;33(2):404-408

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, South Korea.

Background: The lower lateral cartilages (LLCs) are key elements for alar and tip support. Repositioning of both LLCs is an effective procedure for correcting a laterally spreading dome of LLCs and drooping nasal tip in cleft lip nasal deformity (CLND). The alar contour graft has become an essential component of rhinoplasty for correcting the concave or collapsed and retracted alar. Read More

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Utilization of Leech Therapy after Rhinoplasty.

Plast Reconstr Surg 2022 06 5;149(6):1090e-1095e. Epub 2022 Apr 5.

From the private practice; and Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California.

Background: The use of medicinal leeches in modern reconstructive surgery is well-described. Leech therapy after rhinoplasty has not been previously well-characterized.

Methods: The medical records of all patients who underwent open rhinoplasty by a single surgeon over a 4-year period were reviewed. Read More

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Versatility of the Fixed-Mobile Septal Extension Graft for Nasal Tip Reshaping.

Plast Reconstr Surg 2022 06 5;149(6):1350-1356. Epub 2022 Apr 5.

From the Dallas Plastic Surgery Institute; and Division of Plastic Surgery, Baylor College of Medicine.

Summary: Key goals of nasal tip reshaping include precise control of tip shape and position, along with restoration of proper structural support. Unfortunately, traditional techniques attempting to address these goals have yielded unpredictable results. In this article, the authors detail their surgical technique and discuss the numerous aesthetic and functional benefits of this graft, along with its applicability to a wide variety of patient populations and nasal deformities. Read More

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Role of Derotation Suture in Bulbous Tip Correction in Asian Rhinoplasty.

J Craniofac Surg 2022 Mar 14. Epub 2022 Mar 14.

JW Plastic Surgery Center, Seoul, South Korea.

Abstract: In bulbous tip correction, consideration should be given to the presence of cephalic malposition of lower lateral cartilage as well as volume reduction. Derotation suture is a suture technique for tip lengthening but may contribute to bulbous tip correction through the caudal reposition of lower lateral cartilage.From 2016 to 2018, a total of 50 Asian patients underwent bulbous tip correction with derotation suture. Read More

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The Role of Nasal Sill Correction in Secondary Cleft Rhinoplasty.

Ann Plast Surg 2022 05 10;88(5):513-517. Epub 2022 Mar 10.

Division of Plastic and Reconstructive Surgery, Akron Children's Hospital, Akron, OH.

Background: Evaluating outcomes after cleft rhinoplasty can be challenging because of the lack of objective measures that would lead to a more desirable outcome.

Methods: This study is a 10-year retrospective review of 30 consecutive patients who underwent secondary unilateral cleft rhinoplasty performed by a single surgeon. Subjective ratings were made using the Unilateral Cleft Lip Surgical Outcomes Evaluation (UCL SOE), which rates 4 components (nose, cupid's bow, lateral lip, and free vermillion) with a score of 0 to 2. Read More

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Structural Preservation Rhinoplasty: A Hybrid Approach.

Plast Reconstr Surg 2022 05 9;149(5):1105-1120. Epub 2022 Mar 9.

From Rush University Medical School and Toriumi Facial Plastics; private practice; and University of California, Irvine School of Medicine.

Summary: Structural preservation rhinoplasty merges two popular philosophies of rhinoplasty-structure rhinoplasty and preservation rhinoplasty-in an effort to maximize patient outcomes, aesthetics, and function. This allows the surgeon to both preserve the favorable attributes of the nose, and also to structure the nasal tip and dorsum with grafts to maximize contour and support. The concept of dorsal preservation is to preserve favorable dorsal aesthetic lines without the creation of an "open roof. Read More

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Nasal spine implant to correct nasal asymetry and to enable nose correction accompanying orthognathic surgery.

J Stomatol Oral Maxillofac Surg 2022 Mar 4. Epub 2022 Mar 4.

Department of Oral & Maxillofacial Surgery, Faculdade Patos de Minas, School of Dentistry, Rua Major Gote, 1408 Centro, Patos de Minas/Minas Gerais, 38700-001, Brazil; Department of Oral & Maxillofacial Surgery, Faculdade São Leopoldo Mandic, Campinas, Brazil. Electronic address:

Objectives: Orthognathic surgery is gaining importance as an aesthetic procedure. The aim of this work is the first case report of a simultaneous rhinoplasty and orthognathic surgery, using a nasal spine implant.

Case Report: This is a retrospective study based on the CARE guideline. Read More

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