Kosins AM

The use of doxycycline as a sclerosing agent is well-established. Given the clinical efficacy of doxycycline sclerosant therapy, we embarked upon a study to evaluate the efficacy of small-volume liquified doxycycline particularly in thick s…

[BACKGROUND] Over the last 10 years, many new papers on innovative strategies from different surgeons worldwide have elevated the philosophy of preservation rhinoplasty (PR) to a different level: advanced preservation rhinoplasty. [OBJECTI…

Structural preservation rhinoplasty merges two popular philosophies of rhinoplasty-structure rhinoplasty and preservation rhinoplasty-in an effort to maximize patient outcomes, aesthetics, and function. This allows the surgeon to both prese…

[BACKGROUND] Preservation rhinoplasty (PR) is an evolving philosophy. [OBJECTIVES] The open approach was initially utilized, but the author felt a closed approach might be of benefit in certain patients. [METHODS] A total 162 primary rhin…

[BACKGROUND] Preservation rhinoplasty (PR) is a new and evolving philosophy in rhinoplasty surgery. As a surgeon becomes more experienced with preservation concepts, he/she begins to look for new ways to apply PR to an increasing percentage…

For rhinoplasty surgeons, surgery of the dorsum has never been so dynamic or as easily learned. Reproducible techniques offer excellent results that can be difficult to achieve in certain patients using component reduction. An expanding rep…

A thin or damaged skin soft tissue envelope may cause concerns in primary and secondary rhinoplasty. During postoperative healing, unpredictable scarring and contraction may occur and lead to significant aesthetic and trophic sequelae. Besi…

[BACKGROUND] Preservation rhinoplasty (PR) is a new chapter in rhinoplasty history. The term was coined by Daniel in 2018 and represents a fundamental change in philosophy. [OBJECTIVES] The aim of this study is to discuss a single-surgeon …

Recently there has been a dramatic acceptance of the preservation principle in rhinoplasty surgery. Surgeons worldwide now preform preservation rhinoplasty, which has led to an expanding list of indications and techniques. Most rhinoplasty …

[BACKGROUND] The nasal soft tissue envelope affects the final rhinoplasty result, and can limit the expected improvement. Currently, no dependable and objective test exists to measure the thickness of the nasal skin and underlying soft tiss…

[BACKGROUND] In rhinoplasty surgery, management of the bony vault and lateral walls is most often performed with mechanical instruments: saws, chisels, osteotomes, and rasps. Over the years, these instruments have been refined to minimize d…

There are three reasons why the asymmetric crooked nose is one of the greatest challenges in rhinoplasty surgery. First, the complexity of the problem is not appreciated by the patient nor understood by the surgeon. Patients often see the o…

[BACKGROUND] The dorsal hump and dorsal aesthetic lines have been considered bony and cartilaginous structures. Knowledge of the anatomy of the osseocartilaginous vault is essential for obtaining aesthetically pleasing results of rhinoplast…

[BACKGROUND] The analysis of nasal anatomy, and especially the nasal bones including the osseocartilaginous vault, is significant for functional and aesthetic reasons. [OBJECTIVES] The objective was to understand the anatomy of the nasal b…

[BACKGROUND] The plunging tip refers to a deformity in which the nasal tip plunges on smiling. [OBJECTIVES] To understand the plunging tip, we have updated our series of 25 cosmetic rhinoplasty patients who complained of a plunging tip wit…

[BACKGROUND] The plunging tip is defined as a nasal deformity where the nasal tip descends or "plunges" during smiling. [OBJECTIVE] The authors prospectively measure a series of 25 patients with a focus on the anatomic changes of the nose …

[BACKGROUND] Rhinoplasty surgeons routinely excise or incise the lateral crura despite nostril rim retraction, bossa, and collapse. Given recent emphasis on preserving the lateral crura, a review of the lateral crura's anatomy is warranted.…

[BACKGROUND] The purpose of this study was to determine the evidenced-based value of prophylactic drainage of subcutaneous wounds in surgery. [METHODS] An electronic search was performed. Articles comparing subcutaneous prophylactic draina…

[BACKGROUND] The purpose of this study was to identify the common characteristics that may determine potential academicians and chairpersons in academic plastic surgery. The study examined the motivations behind the pursuit of an academic p…

[INTRODUCTION] The objectives of this study were (1) to evaluate the role of a full-time academic plastic surgeon, (2) to define the indicators predictive of a successful career in academic plastic surgery, and (3) to understand the current…