비중격 Nasal Septum

[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…

[BACKGROUND] Short nose correction in Asian rhinoplasty is challenging due to weak septal cartilage, thick skin envelopes, and strong postoperative contractile forces that compromise long-term tip stability. [OBJECTIVES] This study aimed t…

Achieving durable nasal tip stabilization remains a central challenge in septorhinoplasty, particularly in patients with weak cartilage support or significant dorsal septal deviation. Conventional septal extension grafts and suspension-base…

Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The slit extension graft…

TL;DRA transcutaneous lower-eyelid technique that incorporates four modifications that greatly reduce common complications of transcutaneous lower-eyelid surgeries, including persistent postoperative ectropion, may be a promi…

TL;DRDeep fat excision achieves the balance between fat excision and repositioning, improving aesthetic outcomes in severe fat herniation cases, and integrating AI-assisted analysis enhances preoperative planning and postoper…

TL;DRNal endoscopy-assisted functional rhinoplasty can improve the nasal ventilation function and external nasal morphology at the same time and its clinical effect is good, and the patient satisfaction is high.

TL;DRUsing a septal cartilage graft during primary rhinoplasty was suggested to provide better support at the medial side of the alar rim and to result in a straighter nasal septum, improving long-term outcomes.

TL;DRAn acronym is proposed, BLAKE: Borderline/personality disorders, Lonely/social exclusion, Anxiolytics/sedatives, Kosmetik focus, and previous Enhancement with fillers captures the most salient predictors of revision at t…

[BACKGROUND] Caudal septal deviation poses a significant challenge in rhinoplasty, affecting both nasal airflow and aesthetic balance. While various techniques such as scoring, swinging door, and batten grafting have been used, many fail to…

[BACKGROUND] Lengthening a short nose using costal cartilage is common in primary and revision rhinoplasty but has drawbacks, including complexity, two surgical sites, and high complication rates. We present an alternative technique using o…

TL;DRThe combined use of autologous bilateral auricular cartilage and nasal septal cartilage in nasal tip plasty demonstrates stable efficacy, achieving natural-looking and durable postoperative outcomes with high patient sat…

TL;DRThe LCSSG-SEG construct provides a dynamic spring that reorients the lateral crus and supports the alar rim in primary cases with lateral-crural pseudo-malposition and medium-to-thick skin.

TL;DRThe results found that CSEG position relative to the septum does not significantly alter overall perception of symmetry, and future studies should implement artificial intelligence to provide objective evaluations of sym…

TL;DRSeptum suspension with a rib bone cantilever graft provided substantial and robust improvement in nasal ventilation, with aesthetic gains also observed, suggesting this method is a safe and effective option warranting va…

[BACKGROUND] Rhinoplasty outcomes are heavily influenced by nasal tip anatomy, particularly the thickness of the soft tissue envelope (STE) and the underlying cartilaginous framework. Traditional assessment methods are subjective, prompting…

TL;DRA unique case of total nasal reconstruction that successfully combined historical reconstructive techniques with modern microsurgery, supported by artificial intelligence-assisted operative planning is illustrated, to co…

TL;DRAn intermediate approach-boomerang mid-septal excision with intermediate osteotomies-that straightens the dorsum while preserving the keystone area and dorsal aesthetic lines is proposed that may facilitate single-unit d…

TL;DRThe addition of dorsal fixation suture to anterior nasal spine fixation (two-point fixation) may reduce the rate of hump recurrence in low-septal-resection dorsal preservation rhinoplasty.

TL;DRThe footplate release and repositioning technique can be incorporated as an adjunct in rhinoplasty to provide additional tip support, facilitate nasolabial angle adjustment, and assist in upper lip repositioning.