1,910 results match your criteria Rhinoplasty Tip Surgery


Change in nostril ratio after cleft rhinoplasty: correction of nostril stenosis with full-thickness skin graft.

Arch Craniofac Surg 2021 Apr 20;22(2):85-92. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Kangdong Sacred Heart Hospital, Seoul, Korea.

Background: Patients with secondary deformities associated with unilateral cleft lip and nose might also suffer from nostril stenosis due to a lack of tissue volume in the nostril on the cleft side. Here, we used full-thickness skin grafts (FTSGs) to reduce nostril stenosis and various methods for skin volume augmentation. We compared the changes in the symmetry of both nostrils before and after surgery. Read More

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The Nasal Tip Rotation After Primary Rhinoplasty Using Columellar Strut Graft.

Cureus 2021 Mar 28;13(3):e14152. Epub 2021 Mar 28.

Otolaryngology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

Objective:  In this study, we aimed to investigate the degree of nasal tip rotation three months after rhinoplasty using columellar strut graft.

Methods:  Using photographs of 25 patients who underwent rhinoplasty, we prospectively analyzed nasal tip rotation before, during, and after three months of the surgery. Columellar strut graft was used for all patients for tip support. Read More

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The T- Graft to Control Nasal Length and Nasal Tip Position.

Authors:
Dirk Jan Menger

Clin Otolaryngol 2021 Apr 27. Epub 2021 Apr 27.

Department of Otorhinolaryngology, Head & Neck Surgery, Facial Plastic and Reconstructive Surgery, University Medical Center Utrecht (UMCU), The Netherlands.

The T-graft is a new tool in the armament of structural rhinoplasty. The graft makes it easy to create a well- balanced nasal framework both for beginners and more experienced rhinoplastic surgeons. Due to its multifunctional character the T-graft allows the surgeon to control nasal length as well as nasal tip projection and -rotation. Read More

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Tip Droop Prevention in Rhinoplasty: Dynamic Effect of Strut Graft on Smiling versus Depressor Muscle Release.

Plast Reconstr Surg Glob Open 2021 Apr 15;9(4):e3462. Epub 2021 Apr 15.

Department of Plastic Surgery, Wexham Park Hospital, Frimley Healthcare Foundation Trust, Slough, United Kingdom.

Background: Aesthetic rhinoplasty is one of the most challenging procedures performed by aesthetic surgeons. Tip droop, especially on smiling, may not be noted by the surgeon postoperatively but can be concerning to patients. Our aim was to determine if the division of the depressor septi nasi or its combination with a columellar strut graft during rhinoplasty produce a measurable reduction in nasal tip droop on smiling. Read More

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Effect of Nasal Soft-Tissue Envelope Thickness on Postoperative Healing Process Following Rhinoplasty.

J Craniofac Surg 2021 Apr 15. Epub 2021 Apr 15.

Department of Otolaryngology Head and Neck Surgery Department of Radiology, Istanbul University- Cerrahpasa Cerrahpasa Medicine Faculty, Istanbul, Turkey.

Objective: Understanding the postoperative dynamics of the nasal soft-tissue envelope (NSTE) is necessary to obtain the desired cosmetic results after rhinoplasty. This study was conducted to determine the changes of NSTE thickness and its effects on periorbital edema and ecchymosis following rhinoplasty.

Methods: Thirty-five patients who underwent rhinoplasty were included in the study. Read More

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[Research progress of autogenous cartilage scaffold carving method in rhinoplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):514-518

Department of Plastic and Aesthetic Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning Guangxi, 530021, P.R.China.

Objective: To summarize the research progress of autogenous cartilage scaffold carving method in rhinoplasty.

Methods: The relevant literature about the autogenous cartilage scaffold carving methods in rhinoplasty in resent years at home and abroad was reviewed, and the carving skills, shape, and application scope of different parts of nasal scaffolds were summarized and analyzed.

Results: Willow-leaf shape is still the main method of cartilage scaffold in the back of the nose. Read More

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Evaluation of Lateral Crura Divergence Angle of Iranian Candidates for Primary Rhinoplasty.

World J Plast Surg 2021 Jan;10(1):3-7

Shahrekord University of Medical Sciences, Shahrekord, Iran.

Background: Cephalic malposition of the lower lateral cartilages is a common nasal anatomic variation. Knowing the range of lateral crura (LC) divergence angle in Iranian population can help Middle East plastic surgeons. This study aimed to determine LC divergence angle of candidates for primary rhinoplasty in Iranian population. Read More

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January 2021

The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure.

Facial Plast Surg 2021 Apr 8. Epub 2021 Apr 8.

Department of Facial Plastic Surgery, Rigeneralab Center for Regenerative Medicine, Torino, Italy.

As facial aging occurs, aesthetic changes of the nasal tip and the senile upper lip include tip ptosis, increase in skin length, loss of vermillion height and Cupid's bow, and vertical wrinkles.Regardless of the rejuvenation procedure, the lips are not to be considered as a single anatomical entity, instead they should be placed in a strong correlation with the nose. The aim of this study is therefore to demonstrate the effectiveness of the association of primary closed rhinoplasty together with indirect subnasal lip-lifting technique. Read More

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Cephalic lateral crural advancement flap.

Authors:
Fuat Bulut

Arch Plast Surg 2021 Mar 15;48(2):158-164. Epub 2021 Mar 15.

Department of Otorhinolaryngology, Corlu Private Reyap Hospital, Istanbul Rumeli University, Istanbul, Turkey.

Background: In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision.

Methods: This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. Read More

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M-Shaped Auricular Cartilage as Modified Septal Extension Graft: A Study by Three-Dimensional Anthropometric Analysis in Asian Rhinoplasty.

Aesthetic Plast Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Plastic Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095 Jiefang Road, Wuhan, Hubei, China.

Background: The septal extension graft is one of the most commonly used grafts in Asian tip plasty techniques. However, the septal extension graft usually induces a hard and immobile nasal tip. The purpose of this study was to evaluate the esthetic outcomes of the modified septal extension graft with M-shaped auricular cartilage by three-dimensional anthropometric analysis. Read More

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Rhinoplasty in the Older Adult.

Aesthet Surg J 2021 Mar 19. Epub 2021 Mar 19.

Division of Plastic Surgery, Yale School of Medicine, New Haven, CT.

Background: Rhinoplasty in older adults requires unique consideration of the ageing nose. The purpose of this study was to systematically review the literature pertaining to rhinoplasty in this population, review the senior author's experience, and describe techniques aimed at addressing such features.

Objectives: We hypothesized consistent age-related nasal dysmorphology is described in the literature and standard rhinoplasty techniques may effectively address these changes. Read More

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[Application of septal extension graft with autogenous septal cartilage and auricular cartilage in rhinoplasty].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Mar;56(3):242-248

Head and Neck Cosmetic Surgery Center of Beijing Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China.

To explore the feasibility of reconstruction of nasal tip with septal cartilage and auricular cartilage. From September 2018 to October 2019, 17 patients (two males and fifteen females) with low noses underwent rhinoplasty under general anesthesia. The age of the patients ranged from 19 to 39, with an average of 27 years old. Read More

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Indications for Preservation Rhinoplasty: Avoiding Complications.

Facial Plast Surg 2021 Feb 14;37(1):45-52. Epub 2021 Mar 14.

Curso de Medicina, UniCesumar Curso de Medicina, Maringa, Paraná, Brazil.

Nasal dorsal preservation surgery was described more than 100 years ago, but recently has gained prominence. Our objective is to show the surgical technique, the main indications and counterindications, and the complications. It is a technique that does not cause the detachment of the upper lateral cartilage (ULC) from the nasal septum, and has the main following sequence: preparation of the septum and its resection can be at different levels (high or low, i. Read More

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February 2021

Optimal harvest and efficient use of septal cartilage in rhinoplasty.

Arch Craniofac Surg 2021 Feb 20;22(1):11-16. Epub 2021 Feb 20.

Department of Plastic and Reconstructive Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Background: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing and use harvested cartilage efficiently.

Methods: From March 2015 to January 2020, we tried to harvest as much septal cartilage as possible while maintaining the L-strut in 30 patients. Read More

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February 2021

Comparative Study of Anthropometric Nasal Anslysis Based on Han Nationality Young Female Adults in Central China.

J Craniofac Surg 2021 Mar 10. Epub 2021 Mar 10.

Department of Plastic Surgery, the First Affiliated Hospital of Zhengzhou University Department of Plastic Surgery, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou, P.R. China.

Background: The data of nasal anthropometric measurements could help surgeons perform preoperative or postoperative assessments and decide surgical strategies of the nose plastic surgery and related cosmetic rhinoplasty. The aim of the study was to describe the average values of the nasal anthropometric measurements in Han Nationality young female population in Central China.

Methods: All 430 Han Chinese young females were obtained for this study, and their anthropometric features were measured including weight, height, 11 items of linear distance and 4 angles. Read More

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The Harvest of a Lateral Segment of Costal Cartilage for Treating Nasal Deformities.

J Craniofac Surg 2021 Mar-Apr 01;32(2):744-748

Department of Oral and Maxillofacial Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Background: Although costal cartilage has many uses and is a reliable source of cartilage for rhinoplasty procedures, donor-site complications may arise with conventional harvesting techniques. The present report reports a novel technique of harvesting costal cartilage using a specially designed scalpel and studies the use of the harvested cartilage in the reconstruction of secondary nasal deformities in patients with cleft lips.

Methods: Ten patients (7 females and 3 males) with nasal deformities secondary to cleft lip underwent rhinoplasty using this new technique at the Department of Oral and Maxillofacial Surgery, Second Hospital of Hebei Medical University, China, between May 2011 and December 2013. Read More

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Schwannoma on the nasal dorsum and tip with sensory changes.

Arch Craniofac Surg 2020 Dec 20;21(6):380-383. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Schwannomas, which originate from Schwann cells in the peripheral nervous system, are slowgrowing and uncommon benign tumors. Most schwannomas (90%) occur in isolation, and multiple occurrences are a characteristic feature of neurofibromas. Schwannomas of the nose and nasal tip are particularly unusual. Read More

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December 2020

Combination of Extended Paramedian Forehead Flap and Laser Hair Removal in the Reconstruction of Distal Nasal Defect.

Ann Plast Surg 2021 03;86(3 Suppl 2):S293-S298

From the Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, PR China.

Aim: The study sought to determine whether extended forehead flap by using part of the scalp combined with laser hair removal is a practical approach when repairing distal nasal defect.

Methods: A retrospective study was conducted with 6 patients who underwent reconstruction of nasal defects with extended forehead flaps (including scalp combined with subsequent laser hair removal) at Shanghai Ninth People's Hospital between June 2016 and December 2018. Surgical data collected included age, causes of defects, sizes of defects, invaded nasal subunits, implantation of tissue expander, time elapsed between the formation of defects and surgical treatments, sessions of laser hair removal, and follow-up results. Read More

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A Novel Modification of Tongue in Groove Technique (Auto-Septal Projection Graft) in Rhinoplasty.

Aesthetic Plast Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Otorhinolaringology, Koc University, Davutpasa Cad. No: 4, Topkapi, 34010, Istanbul, Turkey.

Introduction: Derotation of the nasal tip with narrow nasolabial angle is a common nasal deformity that leads to a long nose appearance, named drooping nose. In these patients, there are various techniques described to fix droopy tip and to achieve a desirable nasal tip rotation such as caudal septal extension graft, extended columellar strut graft, tongue in groove, columellar strut graft, and tip rotation sutures. This study aimed to evaluate changes in nasal tip support after modified tongue-in-groove technique (auto-septal projection graft). Read More

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Restoring Balance and Symmetry to the Aging Nose.

Facial Plast Surg 2021 Apr 25;37(2):205-210. Epub 2021 Feb 25.

Department of Rhinology & Facial Plastic Surgery, Charing Cross Hospital, London, United Kingdom.

Accurate assessment of facial symmetry is a key component of successful rhinoplasty surgery but is often overlooked by both surgeon and patient. Up to three-quarters of patients with a significantly crooked nose have been found to have concurrent marked facial asymmetry. Whilst not a contraindication to rhinoplasty, provided that facial asymmetry is identified in advance and expectations realistic, the correction of nasal deformities can improve perceived facial asymmetry. Read More

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Rhinoplasty Dissection Planes (Subcutaneous, Sub-SMAS, Supra-perichondral, and Sub-perichondral) and Soft Tissues Management.

Facial Plast Surg 2021 Feb 25;37(1):2-11. Epub 2021 Feb 25.

Department of Otolaryngology and Head and Neck Surgery, Hospital Universitari Son Espases, Secretaria Otorrinolaringologia, Palma de Mallorca, Baleares, Spain.

Rhinoplasty as an operation is akin to a game of chess, where every maneuver will influence the eventual outcome. Undoubtedly, more than one approach to the nasal soft tissues envelop can produce beautiful and safe results as will be described in the paper namely, the subcutaneous, sub-superficial musculoaponeurotic system, supra- and sub-perichondral planes. For different justifiable reasons surgeons have their preferences, regarding dissection planes on the tip, middle and upper thirds, and regarding the manipulation of the soft tissue layers and nasal ligaments. Read More

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February 2021

Surgical Management of a Mild Case of Frontonasal Dysplasia: A Case Report and Review of Literature.

Cureus 2021 Jan 20;13(1):e12821. Epub 2021 Jan 20.

Plastic and Reconstructive Surgery, Nicklaus Childrens Hospital, Miami, USA.

Frontonasal dysplasia (FND) is a rare congenital craniofacial cleft syndrome associated with a spectrum of midline facial bone and soft-tissue malformations. When present, the physical features of FND are often obvious and classified at birth. The resultant facial deformities have the potential to negatively influence psychosocial health and quality of life. Read More

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January 2021

Endonasal FLI Approach for Rhinoplasty with Modified Cottle Low Strip Septoplasty.

Facial Plast Surg 2021 Feb 24;37(1):29-35. Epub 2021 Feb 24.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

To date, an endonasal approach has not been described that combines different incisions to provide exposure of all of the key anatomical structures, allowing for adequate, comprehensive visualization of the nasal architecture including the complete quadrangular cartilage and its extension with the upper lateral cartilages, including the caudal septal border from the ventral border and anterior nasal spine to the anterior septal angle, the scroll, and internal nasal valve.The endonasal approach that Fausto Lopez-Infante designed, the FLI technique, combines several basic known endonasal incisions that together allow excellent access and great visualization of the intranasal surgical field, enables extensive septal work, and preserves the natural anatomy of the dorsum as well as the tip support structures.This technique and approach to nasal surgery are based on an understanding of anatomy, allow standardization of the surgery, and make it reproducible. Read More

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February 2021

Use of Autologous Adipose-Derived Stromal Vascular Fractions in Revision Rhinoplasty for Severe Contractures in Asian Patients.

Plast Reconstr Surg 2021 Mar;147(3):401e-411e

From the Fresh Facial Aesthetic Surgery and ENT Clinic; Yonsei E1 Plastic Surgery Clinic; Maylin Clinic; Yonsei Seran Dermatology and Laser Clinic; and the Department of Plastic and Reconstructive Surgery, Yonsei University, College of Medicine.

Background: Autologous adipose-derived stromal vascular fraction treatments have been shown to elicit antiinflammatory, antifibrotic, immunomodulatory, angiogenic, and regenerative effects. Injections of adipose-derived stromal vascular fraction have been used to treat severely scarred tissues.

Methods: Revision septorhinoplasty was performed in 40 patients with severely contracted noses. Read More

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Folded Cymba Concha: Is It Large and Stable Enough for Caudal Septal Extension Graft in Asian Rhinoplasty?

Aesthet Surg J 2021 Feb 10. Epub 2021 Feb 10.

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Republic of Korea.

Background: Septal extension grafting (SEG) is used for nasal tip projection and positioning. Often, insufficient quadrangular cartilage is available for grafting in Asians and in most secondary cases, the septum is already harvested. We utilized the folded cymba concha as an alternative for caudal SEG (CSEG) by modifying a tongue-in-groove technique. Read More

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February 2021

The Effectiveness of Skeletal Reconstruction in Severe Post-Rhinoplasty Nasal Deformity.

Aesthet Surg J 2020 Dec 3. Epub 2020 Dec 3.

Resident, Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Background: Revision rhinoplasty in patients with multiple prior surgeries is among the most challenging procedures in facial plastic surgery. Evaluating patient satisfaction in this unique patient population is important in determining which technique is effective.

Objectives: The aim of this study was to determine the outcomes of total nasal skeletal reconstruction in patients with severe post-rhinoplasty deformity due to multiple previous revision surgeries. Read More

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December 2020

Biomechanical Nasal Anatomy Applied to Open Preservation Rhinoplasty.

Facial Plast Surg 2021 Feb 27;37(1):12-21. Epub 2021 Jan 27.

RinoIstanbul Facial Plastic Surgery Clinic, Istanbul, Turkey.

Preservation rhinoplasty is a new way to reshape the nose by preserving the dorsum, nasal ligaments, soft tissue envelope, and muscles. This new concept provides the opportunity to achieve a more natural aesthetic and functional result. To achieve a good aesthetic and functional outcome while maintaining surgical safety, knowledge of the relevant anatomy is key. Read More

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February 2021

A Comparative Study Between Classic Derotation Graft and Novel Double V Cutting Folded Derotation Graft.

Aesthetic Plast Surg 2021 Jan 27. Epub 2021 Jan 27.

Department of Plastic and Reconstructive Surgery, Aesthetic Medical Center of Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5, Fu-Hsing Street, Kweishan, Taoyuan, 333, Taipei, Taiwan.

Background: To introduce an innovative refinement, the "double V cutting folded derotation graft" (DVCFD graft), which is a method for nasal tip lengthening in aesthetic rhinoplasty with strong holding force and efficient cartilage use.

Methods: A retrospective study was conducted from January 2018 to July 2019 with 101 patients, including 11 males and 90 females with an average age of 36.87 ± 10. Read More

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January 2021

Nasal alar rim redraping method to prevent alar retraction in rhinoplasty for Asian men: A retrospective case series.

Arch Plast Surg 2021 Jan 15;48(1):3-9. Epub 2021 Jan 15.

Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.

Background: For an attractive and natural tip contour in Asian rhinoplasty, insertion of a nasal implant and reinforcement of the cartilaginous framework are essential. However, scar contracture, which often results from augmentation with implant insertion and inadequate soft tissue coverage of the framework, is one of the most common causes of alar retraction. This study reports a novel method of redraping soft tissue along the alar rim to prevent alar retraction in Asians. Read More

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January 2021