코끝 Nasal Tip
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Reduction Structured Rhinoplasty.
Reduction structured rhinoplasty is a rhinoplasty technique that combines elements from two rhinoplasty philosophies: simple reductive rhinoplasty and structural rhinoplasty. The goal is to achieve decreased nasal size while supporting a li…
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Structural Rhinoplasty through the Endonasal Approach.
Structural endonasal rhinoplasty, unlike traditional reductive rhinoplasty, achieves aesthetic and functional objectives while maintaining key structural anatomical elements and minimizing complications.Previously, rhinoplasty was performed…
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Hybrid Rhinoplasty in Mixed Race Patients: A Mix and Match Philosophy.
Rhinoplasty remains a leading facial plastic procedure globally. The term "ethnic patients" has been replaced by "mixed race patients" reflecting today's interracial mixing, globalization, and massive migrations."Hybrid rhinoplasty" combine…
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Contact Area Between 3D-Printed Silicone Implant and Nasal Bone as a Predictive Factor for Implant Deviation.
[BACKGROUND] Three-dimensional (3D) printing technology is actively applied in rhinoplasty procedures. The use of 3D-printed silicone implants facilitates success in surgery, even when the surgeon lacks experience. However, in some cases, d…
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Septorhinoplasty Using Septal L-Strut Extension Graft: A Long-Term Multidimensional Analysis.
[BACKGROUND] Nasal dorsal augmentation using an alloplastic implant and tip projection using a septal cartilage are generally used in Asian rhinoplasty. Excessive submucosal resection weakens septal support, causing problems due to a heavy …
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Trial, Error, and Expertise: My Evolution Through Structural and Preservation Rhinoplasty Techniques.
Rhinoplasty continues to evolve, with small technical refinements yielding significant aesthetic and functional gains. This article reflects on nearly two decades of surgical experience, focusing on the balance between structural support an…
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The Columellar Auto-Strut Technique: A Refined Approach to Nasal Tip Stabilization in Septorhinoplasty.
[BACKGROUND] The Columellar Auto-Strut Technique (CAST) is a refined modification of the Tongue-in-Groove (TIG) method, designed to provide stable nasal tip support while maintaining aesthetic flexibility. This study evaluates the clinical …
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Modified Ferreira-Ishida Type B Technique Combined with Polygon Tipplasty and Sliding Alar Cartilage Flaps: A Versatile Solution for Primary Caucasian Rhinoplasty.
[INTRODUCTION] Dorsal cartilage preservation techniques have gained significant popularity among rhinoplasty surgeons recently, as they present natural dorsal aesthetic lines, and avoid dorsal reconstruction procedures for the cartilage dor…
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Qualitative Terms Used In Rhinoplasty: A Scoping Review -Toward Establishing a Bridge Between Qualitative Terminology and Quantifiability.
[BACKGROUND] Rhinoplasty is one of the most commonly performed aesthetic surgical procedures. Both patients and surgeons rely on qualitative descriptors such as "plunging nose," "bulbous tip," or "twisted nose" to describe nasal features. D…
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Enhancing nasal tip projection and stability with a columellar strut graft placed in a mucosal flap pocket.
[OBJECTIVES] Establishing a stable nasal tip is crucial for both aesthetic and functional outcomes in rhinoplasty. This study aims to present a novel technique used during columellar strut graft placement to enhance tip projection and ensur…
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Determinants of patient-reported satisfaction with treatment outcome 6 months after rhinoplasty.
[BACKGROUND] Rhinoplasty is a complicated facial surgery which aims to improve the appearance of the nose, resulting in the enhancement of satisfaction with appearance and quality of life. Therefore, it is crucial to understand which factor…
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Optimizing Rhinoplasty Outcomes: The Role of Isotretinoin and Patient Management Strategies: Systematic Review.
[BACKGROUND] Rhinoplasty outcomes in patients with thick nasal skin may be challenging due to the sebaceous nature of the skin, which can compromise tip definition and delay resolution of postoperative edema. Perioperative adjunct using iso…
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Sarcoma Defect Reconstruction of the Posterior Trunk With Local Perforator Propeller Flaps.
[BACKGROUND] Large defects of the posterior trunk after soft tissue sarcoma resection represent a challenge in reconstructive surgery. Coverage with musculocutaneous flaps or free flaps is often associated with donor site morbidity and func…
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Rates of Positive Aspiration Prior to Facial Hyaluronic Acid Filler Injections: Outcomes of a Multicenter, Cross-sectional Study.
[BACKGROUND] Before administering hyaluronic acid (HA) fillers, aspiration can be performed as a safety measure to determine whether the needle tip is located within a vascular structure. However, the efficacy and utility of aspiration have…
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High Definition Magnetic Resonance Imaging of Nasal Tip Ligaments Illustrates Rationale for Ligamentous Preservation.
[BACKGROUND] Although preservation rhinoplasty was described many years ago, it has recently been brought to the forefront of our field. Skin and soft tissue envelope (SSTE) preservation is of particular interest as it prevents the previous…
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Even Unmanipulated Eyebrows Are Unreliable Landmarks for Evaluating Deviated Noses in Rhinoplasty.
[OBJECTIVES.] The eyebrow is a frequently used landmark in rhinoplasty. While caution is advisable when relying on manipulated eyebrows as a reference, there is a lack of evidence regarding the use of unmanipulated eyebrows as a landmark. T…
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Microcracks after apicoectomy with three surgical instruments: A comparative scanning electron microscopy study.
[BACKGROUND] Dentinal microcracks during apicoectomy may be influenced by the instrument used for root-end resection and preparation. Recognizing instrument-related crack formation is important for safer microsurgical choices. [AIMS] To ev…
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Ensuring Equal Implantation Conditions on Both Sides During Breast Augmentation: Effective Decontamination of Implantation Funnels.
[BACKGROUND] The role of mitigation strategies to decrease contamination during breast implant surgery has advanced over the years, and the utility of implantation funnels has been recently validated by several studies. However, the additio…
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Refining Patient Selection in Hybrid Dorsal Preservation Rhinoplasty: A Review of 50 Patients.
[SUMMARY] Dorsal preservation rhinoplasty (DPR) refers to the preservation of the nasal mid-vault during rhinoplasty. It can be performed in conjunction with open structural tip rhinoplasty as a hybrid approach to rhinoplasty. Implementing …
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Effect of Depressor Septi Transposition on Preventing Tip Droop During Smiling in Tongue-in-Groove Tip Plasty: A Randomized Controlled Trial.
[BACKGROUND AND AIMS] Plunging tips caused by overactivity of the depressor septi nasi (DSN) muscle present common challenges in rhinoplasty. The tongue-in-groove (TIG) surgical technique has proven effective in correcting static tip droopi…