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Features of Importance in the Nasal Exam in Rhinoplasty.
[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…
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Evaluating the Efficacy of Liposomal Bupivacaine in Postoperative Pain Management for Rhinoplasty: A Retrospective Study.
[BACKGROUND] Rhinoplasty, a leading cosmetic surgical procedure, often involves the use of opioids for postoperative pain management. This raises concerns due to potential opioid side effects and overprescription. Liposomal bupivacaine offe…
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Reprojecting the Severely Damaged Nose.
Reprojecting the severely damaged nose is a challenging operation fraught with pitfalls. This panel discussion covers 6 fundamental questions answered by 3 surgeons, each with decades of experience. Discussion points include management of t…
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Predicting Nasal Soft Tissue Envelope Thickness for Rhinoplasty: A Model Based on Visual Examination of the Nose.
[IMPORTANCE] Predicting nasal soft tissue envelope (STE) thickness is an important component of the preoperative evaluation for rhinoplasty that presently lacks validated tools. [OBJECTIVE] Assess for patient facial features and factors th…
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Rhinoplasty as an Adjunct to Facial Rejuvenation.
Rhinoplasty typically is not considered a part of the repertoire facial rejuvenation surgery but the same involutional changes that affect the other structures of the face also impact the nose and midface. Comparatively little has been writ…
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Repair of the Protruding Lobule.
[BACKGROUND] In this paper, the author describes a novel step-by-step setback procedure for correcting protruding lobules; the success of correcting protruding lobules depends on the nature and severity of the auricular lobule deformity. Al…
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Correction of the Saddle Nose Deformity.
Saddle nose deformities are among the most challenging problems in rhinoplasty. These patients have often had previous surgery and may have complicated medical histories. Reconstructing the septum is a necessary prerequisite to correcting t…
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Assessing Nasal Soft-Tissue Envelope Thickness for Rhinoplasty: Normative Data and a Predictive Algorithm.
[IMPORTANCE] Preoperative assessment of nasal soft-tissue envelope (STE) thickness is an important component of rhinoplasty that presently lacks validated tools. [OBJECTIVE] To measure and assess the distribution of nasal STE thickness in …
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Saddle nose deformity and septal perforation in granulomatosis with polyangiitis.
[BACKGROUND] Patients who have granulomatosis with polyangiitis (GPA, syn. M. Wegener) often develop an external nose deformity which may have devastating psychological effects. Therefore, reconstruction of nasal deformities by rhinoplasty …
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Grafting Techniques in Primary and Revision Rhinoplasty.
With the adoption of open structure techniques, rhinoplasty has become more reliant on the use of structural grafts to resist change that occurs over time owing to both gravity and the aging process. As surgical procedures have become more …
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Dorsal Failures: From Saddle Deformity to Pollybeak.
The nasal dorsum is an important component of a rhinoplasty and may be the primary motivation for seeking surgery. The nasal dorsum is a complex three-dimensional shape that is shrouded by local anesthetic and edema during surgery. This mak…
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The External Nasal Valve.
The external nasal valve is a complex entity comprised of multiple structures and tissue types. As such, there is no single operation that can address all problems of the external valve. This article reviews the relevant anatomy, pathologic…
- Functional Rhinoplasty.
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Extracorporeal Septoplasty: External and Endonasal Techniques.
Severe septal deformities are among the most challenging problems faced by rhinoplasty surgeons. Extracorporeal septoplasty (ES)--also known as subtotal septal reconstruction--involves removal of the native deformed septum and replacement w…
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Form and Function of the Nasal Tip: Reorienting and Reshaping the Lateral Crus.
Dysfunction of the external nasal valve affects both the form and function of the nose. Successful treatment of these problems is dependent on proper analysis and diagnosis of the aberrant anatomy. Cephalic malpositioning of the lateral cru…
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Evolution of Preoperative Rhinoplasty Consult by Computer Imaging.
The preoperative consultation in rhinoplasty involves a multitude of actions that are mandatory for the decision-making process: history taking with attention to the symptoms and specific requests of the patient, clinical evaluation of the …
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Three-Dimensional Surface Imaging and the Continuous Evolution of Preoperative and Postoperative Assessment in Rhinoplasty.
During the preoperative assessment in rhinoplasty, the surgeon takes a thorough history, performs a complete examination by assessing functional and aesthetic aspects of the nose, obtains a clear understanding of the patient's wishes, condu…
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Endoscopic forehead approach for minimally invasive benign tumor excisions.
[IMPORTANCE] Direct transcutaneous resection has been a widely accepted standard for the removal of benign forehead lesions. In recent years, the endoscopic approach has become more prevalent because of its noninvasiveness. To date, only a …
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Morphing images to demonstrate potential surgical outcomes.
Morphing patient images to offer some demonstration of the intended surgical outcome can support shared expectations between patient and facial plastic surgeon. As part of the preoperative consultation, showing a patient an image that compa…
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Photoshop tips and tricks every facial plastic surgeon should know.
Postprocessing of patient photographs is an important skill for the facial plastic surgeon. Postprocessing is intended to optimize the image, not change the surgical result. This article refers to use of Photoshop CS3 (Adobe Systems Incorpo…