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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…

Over-resection leads to many complications in rhinoplasty. Here, we detail the most common of these pitfalls and strategies to both avoid and repair them.The nose is frequently divided into thirds. The nasal bones represent the upper third.…

[BACKGROUND] Total LLC reconstruction always poses a challenge for plastic surgeons. Various techniques have been used to reconstruct destructed LLC, but there is still a lack of information regarding their morphology. Our objective is to o…

[BACKGROUND] External nasal valve dysfunction (EVD) is a common cause of nasal obstruction that is unlikely to be restored with septoplasty/turbinoplasty alone. This study aimed to assess two rhinoplasty techniques for the prevention and tr…

[OBJECTIVES] External nasal deformity in patients with cleft lip and palate causes both functional and aesthetic problems. Corrective rhinoplasty using a reverse U-shaped incision and suturing of the alar cartilage is not always successful.…

[OBJECTIVE] Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores t…

[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…

[BACKGROUND] Achieving consistent correction of unilateral cleft lip nasal deformity (uCLND) remains challenging due to the complex interplay between skeletal, soft tissue, and cartilaginous components. This study evaluates intraoperative l…

To evaluate morphologic outcomes following mature cleft rhinoplasty using exclusive septum cartilage grafting.Retrospective, observational study.SettingSingle institution, 8-year retrospective review.Patients/ParticipantsA total of 31 facia…

[BACKGROUND] Primary tip rhinoplasty at the time of bilateral cleft lip (BCL) repair has become the standard of care. However, there are limitations in fully correcting the interdomal deformity, resulting in variations in early nasal tip sh…

Preoperative surgical planning for alar reduction remains challenging due to the lack of objective references in traditional measurements. Therefore, this study aimed to objectively quantify preoperative bilateral alar symmetry using 3D bes…

[BACKGROUND] The insertion of implants and tip plasties has been performed in Asian patients for an attractive and higher nasal profile, which can result in diverse tip deformations such as notching, pinching, alar retraction, incompetent e…

Secondary rhinoplasty (SRP) in patients with matured unilateral cleft lip and palate remains a surgical challenge due to nasal asymmetry, tip ptosis, and alar deformities. This study aimed to quantitatively assess morphological nasal change…

[BACKGROUND] An improperly established tip graft can lead to a narrow tip over time. To further refine the nasal tip and reduce the possibility of a narrow pointy tip, a shield graft and a tip onlay graft made from rib cartilage were fixate…

[BACKGROUND] Hanging alae is a common aesthetic problem in Southeast Asian noses. The alar overhang gives a poor aesthetic relation between the alar and columellar base described as a "heavy hypertrophic alar" appearance. Alar lift surgery …

[OBJECTIVE] This study introduces a modified surgical approach to improve the nasal morphology and ventilation function of cleft lip patients by repositioning the lower lateral cartilage. [METHODS] This study concluded 28 patients with uni…

[BACKGROUND] Rhinoplasty surgeons often rely on tip grafting to add volume in the infratip, midtip, or supratip areas. The author has developed a novel tip graft, from the repurposed, pliable cephalic margins of the lower lateral cartilage …

[BACKGROUND] Cleft lip and palate (CLP) represent one of the most prevalent congenital anomalies of the maxillofacial region, resulting in significant structural deformities that impact nasal function, facial aesthetics, and psychosocial we…

The appearance of an individual's nose plays a pivotal role in facial aesthetics. A nose that is proportionate to a person's face enhances facial balance and appearance. Traditional surgical rhinoplasty has been a common solution for addres…