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Showing posts from November, 2018

Pinched nose correction

This gentleman had multiple rhinoplasties before. He has a Gore-Tex implant on the dorsum, pinched and upturned tip, narrow middle vault, and nasal obstruction. Surgery included replacing Gore-Tex with rib cartilage, septum and middle vault reconstruction, tip lengthening with new septal extension grafts, and medial and lateral reinforcement with cartilages. After surgery, his nose looks normal and he can breath much better. I used special technique called "grated cartilage paste" on the tip area. Grated rib cartilage was made as paste using patient's own blood and used as tip onlay graft. This gives volume not only on the tip but also on the lateral margins of the tip, which makes a more natural tip apprearance.

Ostetomy with no swelling

Management of bone in rhinoplasty includes bony hump resection, septal bone correction, and deviated nasal bone osteotomies. All these can be done efficiently with ultrasonic instrument. Advantages of ultrasoninc instrument over conventional method are less bleeding, less swelling, and greater control of fine bone adjustment. Patient can benefit a lot from this instrument, while doctors are more confient in bone managing techniques. I delcalre that I have no financial interest with the manufacturing company.