This short video clip shows how I harvest a 4 cm rib cartilage from a 1.7 cm incision. Initial 1.5 cm incision changed into 1.7 cm incision with stretching. No muscle is cut during the dissection and it minimized postoperative pain. Incision heals well with meticulous suture. There is no need for admission and the patient can go home on the day of surgery.
This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.
Comments
Post a Comment