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[BACKGROUND] Bulbous nasal tip surgery due to lateral-crural pseudo-malposition in medium-to-thick skin with weak cartilage is often challenging. Suture-only maneuvers may not reliably maintain the lateral-crural resting angle in such anato…

[BACKGROUND] Nasal base depression is a frequent aesthetic concern in rhinoplasty, particularly in patients with midfacial retrusion. This study introduces a fascia transplantation technique to correct alar base (paranasal) depression and r…

[PURPOSE] Alar cartilage anatomy varies significantly across ethnic groups, and understanding these differences is crucial in nasal tip surgery. The aim of this descriptive study was to evaluate the anthropometric properties of the alar car…

[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Understand the embryologic and anatomical basis of the nose in a unilateral cleft lip. 2. Identify key challenges in achieving nasal symmetry and balan…

The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicula…

In nasal tip surgery, achieving both functional and aesthetic results is crucial. Several complications, such as alar retraction or weakening of the internal nasal valve (INV), are associated with the "classical" cephalic trim. To prevent c…

[BACKGROUND] Postoperative nasal obstruction and asymmetry can compromise satisfaction after rhinoplasty. Internal nasal dilators (INDs) may support early healing by maintaining valve patency and symmetry, but their postoperative efficacy h…

Unilateral cleft lip (UCL) repair has evolved significantly over the past decades. In certain areas of the world, barriers such as limited surgical expertise, lack of equipment, and restricted access to general anesthesia make cleft care ch…

[INTRODUCTION] The septocolumellar suture technique has shown consistent efficacy in achieving precise nasal tip aesthetics for over 20 years. This study aims to evaluate the long-term outcomes of primary endonasal rhinoplasty. [METHODS] R…

[INTRODUCTION] Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited. [OBJECTIVES AND HYPOTHESES] To compare the ef…

[INTRODUCTION] Lateral wall insufficiency (LWI) is a major cause of dynamic nasal obstruction. Various techniques exist to reinforce the lateral nasal wall, but a structured, anatomy-driven surgical approach remains underreported. [MATERIA…

[BACKGROUND] Achieving functional results in nasal reconstruction necessitates a focus on structural integrity. Surgeons are often challenged by limited supply of donor material for grafting. This study aims to determine the types and mater…

[BACKGROUND] Intermediate cleft rhinoplasty (ICR) addresses nasal deformities in children with cleft lip and/or palate (CL/P), yet the influence of surgical planning and outcomes remains underdefined. This study evaluates decision-making an…

Background Rhinoplasty is increasingly being performed for aesthetic enhancement and functional improvement. However, the decision to undergo rhinoplasty involves physical, psychological, and social factors. This study investigated which na…

Body position and anesthesia may alter nasal anthropometric measurements, potentially affecting both preoperative assessment and intraoperative decisions in rhinoplasty. Quantifying these effects is essential for the accurate evaluation of …

[BACKGROUND] The alar-columellar relationship was crucial for aesthetic evaluation of the lower nasal area, with alar retraction being a common and challenging deformity in Asian rhinoplasty. [OBJECTIVES] This study aims to evaluate the ef…

[AIMS AND BACKGROUNDS] This study aims to review contemporary principles of structural nasal tip grafting and provide a practical framework for selecting techniques that achieve durable aesthetic and functional outcomes. [HISTORICAL ASPECT…

[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…

[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…

[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 …