Distortive effects of short distance photographs on nasal appearance: The selfie effect
(Rutgers University) Nasal distortions in selfies taken at close range are prompting people to seek out surgeons to make their noses smaller. Such was the experience of Rutgers facial plastic surgeon Boris Paskhover, who worked with a Stanford mathematician to develop a model to show patients how much their nose becomes distorted in close-up photos. The model is published in JAMA Facial Plastic Surgery.
This cohort study examines differences in lateral wall insufficiency severity in patients seen in consultation for functional, cosmetic, and combined rhinoplasty.
Conditions: Pain, Postoperative; Opioid Use Interventions: Drug: Gabapentin; Drug: Placebos Sponsor: Ohio State University Active, not recruiting
This Surgical Pearl presents the protection of augmented tip (PAT) flap technique for preventing tip graft visibility in rhinoplasty.
This article provides a case approach focused on the use of structural grafting in rhinoplasty. PMID: 29636151 [PubMed - in process]
This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. Design A retrospective review of functional rhinoplasties by a single facial plastic surgeon over a 2-year period was conducted. Setting Facial plastic surgery practice at a tertiary academic medical center. Participants Fifty patients with a single surgeon over a 22-month period with a minimum of 1-year follow-up were included in the study. Age, sex, and p...
Conclusions The alar transfixion suture procedure is not effective for correcting a vestibular web and alar-facial groove.
The challenges of cleft reconstruction have been present for centuries. However, understanding of the cleft nasal tip and the evolution of techniques decidedly began in the 20th century and refinement continues into the present day. Although a multitude of technical descriptions and case series have been published, a compendium of seminal techniques, which have shaped modern thought, has not been compiled in the literature. In this review, we discuss the anatomical disturbances in the cleft nasal tip anomaly, the timing and strategy of tip correction, and the major classic techniques for management of the cleft nasal tip. ...
ConclusionBased on our findings, although cephalic malposition of LLCs may be present in some patients but in the majority of cases the etiology of nasal lateral wall pinching is not cephalic displacement of lateral crura but most probably is due, rather, to severe convexity of the posterior and lateral crura. According to our findings, cephalic malposition is an uncommon anatomic variation of LLCs that has been reported at high frequency (60 –70% of their rhinoplasty cases). This finding may help to correct this deformity into a normal anatomic configuration.Level of Evidence IVThis journal requires that authors ass...
ConclusionA simple clinical exam of the soft tissue nasal angles does not reflect the underlying bone angles that will be encountered during rhinoplasty. BMI does not influence nasal shape, and rhinoplasty surgery should take into account the ethnic group, age, and sex of the patient. Surgeons should leave a minor skeletal hump at the end of the nasal bone for Middle Eastern patients.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authorswww.springer.com/00266.
Both autologous costal cartilage (ACC) and alloplastic materials are widely used in rhinoplasty. However, there is controversy regarding which material can offer the ideal outcome and fewer complications.