Treatment of the foreshortened nose
Treatment of the overrotated foreshortened notice requires extended spreader grafts in order to elongate the entire tip complex. This is one of the most complex maneuvers in all of rhinoplasty. VIEW NOW
Straightening the crooked nose in revision rhinoplasty
Straightening the crooked tip in revision rhinoplasty requires complex maneuvers, including spreader grafts, asymmetric Nasal Tip Deprojection, septal scoring, alar contour grafts, and septal reset VIEW NOW
Treating nostril asymmetry in revision rhinoplasty
Treatment of nostril asymmetry in Revision Rhinoplasty requires many complex maneuvers, including alar contour, grafts, nasal tip deprojection, and appropriately tensioning the tip. VIEW NOW
Nasal tip deprojection
It is very important to shorten an elongated nasal tip during rhinoplasty by performing a Nasal Tip Deprojection in order to prevent the ski slope look of the nose when this is not performed adequately. VIEW NOW
Dorsal hump reduction
Dorsal hump reduction is accomplished by reducing both the bone and cartilaginous aspects of the dorsum. I always place spreader grafts in order to support breathing when taking down the dorsal hump. VIEW NOW
Incision of open rhinoplasty should not be visible
The incision of an open Rhinoplasty should not be visible. A stair step incision can be used and the goal should always be in an unnoticeable scar. VIEW NOW
Revision rhinoplasty: drooping nasal tip
Treating the drooping nasal tip in revision rhinoplasty often involves improved tip support. This can be accomplished through a variety of different maneuvers, the most important of which is cartilage grafting. VIEW NOW
Treatment of the hanging columella in revision rhinoplasty
Treatment of the hanging columella in revision Rhinoplasty can be accomplished by providing improved tip support. It is also very important to create an appropriate tip defining point. VIEW NOW
Treatment of the over-rotated nose in revision rhinoplasty
Treatment of the foreshortened overrotated nose with too much nostril exposure involves releasing all of the scar tissue and then placing extended spreader grafts in order to derotate the entire tip complex. VIEW NOW
Revision rhinoplasty: correction of the foreshortened tip
In order to de-rotate the tip in Revision Rhinoplasty, it is often necessary to release all the scar tissue and then place extended spreader grafts. This will also help to accomplish decrease in the amount of nostril exposure. VIEW NOW
Tip refinement in revision rhinoplasty
Tip refinement is often needed in revision rhinoplasty. This can be accomplished in a number of ways, including cartilage suturing, cartilage excision, scar excision, soft tissue, excision, and soft fascial tip grafts. VIEW NOW
Revision rhinoplasty: treating the drooping tip
The key component in Revision Rhinoplasty to treating the drooping nasal tip is adequate tip support. This can be accomplished with Cartilage grafts. I will often combine this with Nasal Tip Deprojection to provide the best aesthetic results. VIEW NOW
Revision rhinoplasty to treat alar retraction
There are many complex maneuvers to treat alar retraction (over-exposure of the nostrils) in Revision Rhinoplasty. Alar contour grafts, tensioning the tip appropriately, and nasal tip deprojection can be combined to accomplish this goal. VIEW NOW
Finesse revision rhinoplasty
Finesse Revision Rhinoplasty involves maneuvers to make subtle aesthetic changes to the nose, such as lowering the tip defining point, creation of an appropriate tip defining point, and correction of nostril asymmetries. VIEW NOW
Revision rhinoplasty presentation
I get asked to present many lectures about Rhinoplasty and Revision Rhinoplasty. It is always an honor to speak about this subject to my respected colleagues. VIEW NOW