Caudal Septum Deviation
One of the more challenging types of reconstructive rhinoplasty involves repair of a caudal septum deviation. Caudal Septum So what is the caudal septum you might ask? The caudal septum refers to the portion of the nasal septum that sits right behind the columella - which is the column that separates the two nostril openings. The caudal septum can also refer to the anterior most segment of the nasal septum - meaning the segment that... Continue Reading
Pinched Nasal Tip Repair
Pinched Nose Following Rhinoplasty This is a great case example that demonstrates repair of a pinched nasal tip. This gentleman had previously undergone rhinoplasty surgery performed by a different plastic surgeon a few decades ago. Unfortunately, as time went on, his nasal tip began to collapse on both sides - resulting in pinching of the nostril side walls. This is readily seen in his preoperative frontal photograph shown here. Not only did this type of... Continue Reading
Revision Rhinoplasty Tip Rebuilding
This is a great case example of how revision rhinoplasty can help correct functional problems following previous, unsuccessful rhinoplasty surgery. This patient was referred to my office by a past rhinoplasty patient of mine. He had undergone nose surgery that was performed by a plastic surgeon in the Orange County area. Unfortunately, in the process of reshaping his nasal tip, something was done to the cartilage support resulting in collapse of his right side. Cosmetically, this created... Continue Reading
Asymmetric Tip Collapse
This is a case example of a patient who desired to have her nose reshaped following two prior unsuccessful attempts performed by a different plastic surgeon. Her surgeries were performed over 10 years prior. Since then, her nose developed asymmetric collapse of the tip region - with more collapse seen on her right side. This was bothering her enough that she wanted to have the tip reshaped to be more symmetrical. In addition, she desired... Continue Reading
Osteotomies – Narrowing a Wide Nasal Bridge
Osteotomies are a specific maneuver performed during rhinoplasty surgery to help narrow a wide nasal bridge and/or to straighten a crooked bridge. This rhinoplasty tutorial here focuses on the former - using osteotomies to narrow what is seen as a wide nasal bone. This young lady consulted with me for a variety of reasons related to the cosmetic appearance of her nose. One of her main issues was that her nasal bones (and nasal bridge)... Continue Reading
Nasal MOHS Cancer Repair
Many patients in this area of the country are, unfortunately, diagnosed with various types of skin cancer involving the nose. The procedure done to remove the skin cancer is often times referred to as 'MOHS surgery' and is most commonly performed by specialized dermatologists. In many cases, the nose can be reconstructed shortly after the MOHS procedure to help restore a natural appearance. In some patients, however, this is not the case and they end up... Continue Reading
