Revision rhinoplasty: tip debulking
When performing a Revision Rhinoplasty on a patient with a bulbous tip, there are numerous strategies that can be used to debulk and refine the tip VIEW NOW
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Tip support: columellar strut vs septal extension graft
There are two main strategies to support the tip including columellar strut graft and septal extension graft. I generally perform tip deprojection with a columellar strut graft. VIEW NOW
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Finesse revision rhinoplasty: the tip defining point
Finesse revision Rhinoplasty inside the operating room to create a more appropriate tip defining point VIEW NOW
Revision rhinoplasty: tip defining point
This case illustrates the importance of creating an appropriate tip defining point in Revision Rhinoplasty VIEW NOW
Revision rhinoplasty: hanging columella
The hanging columella can be treated in revision Rhinoplasty with Nasal Tip Deprojection and placement of a strong columellar strut graft to add tip support VIEW NOW
Straightening the crooked nose
Straightening the crooked nose is one of the most challenging things to do in all of rhinoplasty. Making sure that you see many real examples of this in your surgeons before & after gallery. VIEW NOW
Treatment of nostril asymmetry
Treatment of extreme nostril asymmetry can involve tip derotation and placement of extended alar contour grafts to improve nostril symmetry VIEW NOW
Revision rhinoplasty: drooping tip
Revision Rhinoplasty with tip elevation, treatment of alar retraction, tip deprojection, and tip refinement. VIEW NOW
Treatment of the drooping nasal tip
Treatment of the drooping Nasal Tip with poor tip support includes tip elevation and tip deprojection with anchoring to a robust columellar strut graft VIEW NOW
Revision rhinoplasty: over exposed nostrils
Treatment of the foreshortened overrotated nose with over exposed nostrils in Revision Rhinoplasty involves complete release of all the scar tissue and placement of extended spreader grafts to derotate the tip complex. VIEW NOW
Dangers of implants in the nose
Foreign body implants including silicone, gortex, medpor, and hardware are extremely dangerous in rhinoplasty due to the increased risk of infection, extrusion, malposition, and displeasing aesthetic results. VIEW NOW
Dangers of silicone implant in revision rhinoplasty
Silicone implants have an extremely high rate of complications in rhinoplasty including extraction, infection, malposition, and displeasing aesthetic results. VIEW NOW
Treating over projection of the tip
Nasal Tip Deprojection can be accomplished by excising 4 to 16mm of medial crural footplates and anchoring this to a robust a Columellar strut graft. VIEW NOW
Preventing tip droop when smiling
The key to preventing tip droop when smiling is adequate tip support. This can be performed using a Columellar strut graft. VIEW NOW
Revision rhinoplasty to treat bulbous and drooping tip
Revision Rhinoplasty with tip refinement, tip debulking, tip, elevation, and tip deprojection to result in a smaller nose. VIEW NOW