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Management of the thick skinned nose

The authors briefly present a surgical pearl that helps addressing the overly thick nasal skin envelope in cosmetic rhinoplasty. In order to optimise cosmetic results in thick-skinned noses, contour enhancement is best achieved by elongating and projecting the skeletal framework...

Diced conchal cartilage with perichondrial attachment graft in rhinoplasty

This article shows the experience of a single surgeon with the use of diced conchal cartilage with perichondrial attachment in 37 consecutive patients. The graft was used to camouflage asymmetries on the lateral wall of the nose, for tip contouring...

Crushed cartilage and fibrin sealant graft for radix augmentation

This paper shows a new technique for radix augmentation on Asian patients using crushed cartilage layers stacked on the nasal dorsum and stabilised with fibrin sealant. The study was made on 51 patients operated by the same surgeon in two...

A retrospective comparison between standard septoplasty and extracorporeal septoplasty

This paper shows the results of a retrospective study made on 169 patients with nasal obstruction due to a deviated nasal septum who were operated using a standard septoplasty technique or performing an extracorporeal septoplasty. Postoperative nasal patency, aesthetic outcome,...

Facial asymmetry in patients with deviated noses

Rhinoplasty of a deviated nose is known to be a challenge of its own kind, especially when patients presenting with a deviated nose are unaware of their underlying facial asymmetry. Patients with a successfully straightened nose, continue to perceive their...

Cosmetic Facial Surgery (Second Edition)

I do not know who Joe Niamatu I or Joe Niamtu II were and sadly I have never met Joe Niamtu III. I have, however, read his book from cover to cover and feel that I got to know his...

Malar mounds and festoons

Periorbital rejuvenation and blepharoplasty, in particular, are very common procedures nowadays in aesthetic practice. More than 153,000 blepharoplasty procedures were peformed in the USA during 2012. Blepharoplasty can sometimes be a very challenging surgery, especially if the patient presents with...

Reconstructing the keystone area

This manuscript describes two different ways to stabilise the keystone area during extracorporeal septoplasty. The authors performed a retrospective study on 110 patients who were operated for extracorporeal septoplasty by multiple surgeons. The patients were divided into two groups; in...