Patel PN

[BACKGROUND] Chemodenervation is a mainstay in the treatment of nonflaccid facial paralysis (NFFP). This study investigates how electromyography (EMG) guidance during chemodenervation may allow for more accurate needle placement. [STUDY OB…

[BACKGROUND] Existing data on tranexamic acid (TXA) in rhinoplasty are mixed. [OBJECTIVE] Compare blood loss, edema, and bruising in patients undergoing septorhinoplasty with or without intravenous (IV) TXA, measured by estimated blood los…

[BACKGROUND] There is inadequate evidence for the utilization of nonnarcotic pain medications for postoperative pain management following rhinoplasty. [OBJECTIVE] To compare the effectiveness of opioid and non-opioid medications for postop…

[BACKGROUND] The most critical exam components in patients seeking rhinoplasty have not been established. [OBJECTIVE] To identify concordance among experienced rhinoplasty surgeons regarding the most important exam features for various def…

Studies suggest that mood disorders may affect perception of facial synkinesis, though none have analyzed effects on perceived benefit from chemodenervation. To measure the effect of depression, appearance anxiety, and other variables on c…

Botulinum toxin type A (BoNT-A) is widely used in cosmetic practice and generally considered safe, with adverse effects usually limited to transient local reactions. Rarely, systemic spread or counterfeit formulations can cause iatrogenic b…

Ear piercings can lead to infectious complications, commonly involving Staphylococcus aureus and Pseudomonas aeruginosa . This is the first documented case of bilateral chronic auricular chondritis caused by Actinomyces odontolyticus follow…

Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be …

[OBJECTIVE] Assessment of the readability, accuracy, quality, and completeness of ChatGPT (Open AI, San Francisco, CA), Gemini (Google, Mountain View, CA), and Claude (Anthropic, San Francisco, CA) responses to common questions about rhinop…

Application of dorsal preservation rhinoplasty techniques requires an in-depth understanding of the underlying nasal anatomy. A key tenant of dorsal preservation rhinoplasty is maintaining the relationship between the upper lateral cartilag…

In dorsal preservation rhinoplasty, resection of the septum is required to remove a hump. Modifications to the original immediate subdorsal strip excision of Goodale and Lothrop include the following sub-dorsal approaches: modified subdorsa…

Structural preservation rhinoplasty (SPR) uses structural methods and dorsal preservation. SPR approaches include (1) dorsal preservation techniques coupled with structural approaches to the lower third/nasal tip complex; (2) use of structu…

The recent resurgence of preservation rhinoplasty has been driven by theoretic esthetic and functional advantages of keystone preservation, as well as development of modified techniques that have expanded surgical indications. Current liter…

Subcutaneous emphysema (SE) is a notably rare complication of surgical procedures, particularly in the context of rhinoplasty. In this report, we present a novel case of recurrent nasal SE following routine open septorhinoplasty in a 59-yea…

Functional rhinoplasty often relies on repurposed cartilage for nasal framework grafting. To compare complications in functional rhinoplasty associated with use of autologous versus fresh frozen cadaveric rib cartilage (FFCR). This retros…

[OBJECTIVE] To systematically compare functional outcomes and postoperative cosmetic satisfaction following alar batten graft (ABG) versus lateral crural strut graft (LCSG) placement for patients with nasal valve incompetence. [DATA SOURCE…

Artificial intelligence (AI) has made invaluable contributions to the technologic advancements across many fields. It is transforming health care and may have a role in improving patient outcomes in facial plastic and reconstructive surgery…

[OBJECTIVE] Surgical management of cleft lip/palate and cleft rhinoplasty have historically been performed by plastic surgeons. No study has addressed temporal trends in cleft-associated surgeries. This study assesses trends in cleft surgic…

Structure rhinoplasty and preservation rhinoplasty are 2 popular philosophies that can be used alone or in combination to provide a hybrid approach. Structure rhinoplasty is the leading option for revision rhinoplasty and utilizes cartilage…

The paramedian forehead flap (PMFF) is a well-established technique utilized for reconstruction of complex nasal defects. To identify the different techniques and management of patients undergoing PMFF reconstruction and compare these with…

Patients with facial synkinesis may have jaw tightness and swallow discomfort despite chemodenervation of facial mimetic musculature, and the posterior belly of the digastric (PBD) muscle is a logical target to treat these symptoms. To com…

Renewed interest in dorsal preservation rhinoplasty (DPR) stems from theoretic esthetic and functional advantages over conventional hump resection. DPR fundamentally consists of en bloc dorsal lowering via a combined septal resection and mo…

[BACKGROUND] Structural preservation techniques (SPR) minimize disruption of the dorsal aesthetic lines, with potential aesthetic and functional benefits over conventional hump resection techniques (CHR). The goal of this study is to compar…

Preservation rhinoplasty encompasses a number of techniques that minimize disruption of the native cartilaginous and soft tissue nasal architecture. These techniques have gained popularity resulting in an increase in publications relevant t…

Preservation of native nasal structures in rhinoplasty has aesthetic and functional benefits. This ideology can be implemented within open surgical approaches and in the context of structural modifications of the nose, particularly the nasa…

There has been a resurgence in dorsal preservation rhinoplasty (DPR) caused by theoretic aesthetic and functional advantages compared with conventional hump takedown rhinoplasty. Classically, the push-down and let-down maneuvers have been d…