Archive for March, 2009

Rhinoplasty, Tip grafts, Increased Projection and the Apparent Nasal Bump

March 20th, 2009 | Category: Rhinoplasty Philosophy

Occasionally we get young and often times older patients who present and tell us that after years of staring at their profile in the mirror that they are now noticing a bump when they did not have one before.

In most cases this apparent bump is due to a loss in tip projection.  As we age, we lose some tip support and for some the result is a tip drop and an apparent bump. Many of you may have noticed a grand parent who seems to have a nose that had grown over the years and has developed a bump. The fact is that the nose has not actually grown. As the tip has lost support, it has started to droop resulting in a longer nose and oftentimes in a new bump.  See our online textbook for more details (the Aging Nose) Read more

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Does a radix graft make your eyes look closer together?

An interesting question that came up on the RealSelf forum had to do with radix grafts. A radix graft is a (usually) small piece of cartilage placed at the root of your nose between your eyes. It’s meant to add height to this area and is potentially used for several reasons. Read more

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Nasal Implants: Is an I-shaped implant better than an L-shaped implant?

How about neither? We are often asked about nasal implants. These are primarily used for East Asians, African Americans, and others seeking a stronger, higher nasal bridge and a more refined tip. They are also sometimes recommended for patients whose bridge has been lowered too much during previous surgery. Implants can be of various materials but the most commonly used implants are made of silicone/silastic.

nasal implant
nasal implant

Above you can see the typical shape of a nasal L-strut implant. This particular one happens to made of Medpor which can be a real problem to revise…but that’s another story.

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Lost in Translation: Overseas Surgery

March 09th, 2009 | Category: Ethnic Rhinoplasty,Revision Rhinoplasty

Every so often we are confronted by the patient who has gone overseas to have surgery only to return with a botched result. Now this is not to say that surgeons outside the US are not good or as accomplished but simply that once you have surgery overseas your ability to have adeuate follow up or in the worst case scenario recourse toward revision are dramatically decreased. Read more

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