Rhinoplasty Tutorial

We have been quite busy around the office lately, consulting with many of you about a wide variety of facial plastic/cosmetic surgery procedures. As my staff has likely already explained to many of you, we are embarking on a very busy time of year when it comes to facial plastic…

All patients undergoing rhinoplasty or revision rhinoplasty by my office are counseled on how to minimize chances of bruising following surgery. The onset and severity of bruising after cosmetic rhinoplasty is dependent on multiple factors, which can usually be accounted for by careful planning. All patients are instructed to review…

In many cases where patients are undergoing reshaping of the dorsum (bridge) I will recommend that we place spreader grafts at the time of the surgery. Spreader grafts are long, rectangular-shaped pieces of cartilage that are placed in parallel with the bridge in between the septum and the upper lateral…

Many patients who are scheduled to undergo revision rhinoplasty require ear cartilage grafting (also known as auricular cartilage grafting) as part of their surgery. This is commonly done when we need to add structural support and/or additional contour to the nose following prior rhinoplasty where too much cartilage or bone…

We have had a lot of inquiries lately about the return of the only FDA-approved permanent dermal filler on the market in the United States – Artefill. I am excited to report that Artefill is officially back as of several months ago. Artefill was previously manufactured and distributed by Artes…

Many times I will ask that my patients begin taping their nose following rhinoplasty. This is recommended to encourage your nose skin to adhere down to the underlying cartilage and bone that was just reshaped. In rhinoplasty patients with thin skin, this is usually not necessary. In rhinoplasty patients with…

Eyelid swelling following blepharoplasty, or an eyelid lift, is quite common within the first 72 hours of the recovery period. The eyelid skin is rather thin and, therefore, even a small amount of inflammation will contribute to moderate swelling of the region. Because of this I recommend that all patients…

The answer to this question is – quite commonly. I would say that nearly 20% of our patients seeking primary rhinoplasty (1st time rhinoplasty) also consider chin augmentation with an implant. One of the main goals of rhinoplasty is to achieve improved harmony with the rest of the face. In…

In essentially all cases of routine otoplasty for prominent ears the incisions (skin cuts) are hidden completely behind the ear. Although some plastic surgeons still make incisions in front of the ear, I have been quite successful with keeping our incisions behind the ear. My otoplasty technique involves an incision…

Many patients seeking an upper eyelid lift, or blepharoplasty, are pleasantly surprised to hear that they can undergo the procedure in the office setting. An upper eyelid blepharoplasty is one of the most gratifying procedures for both patient and surgeon. The procedure can have quite dramatic, yet natural appearing, results…