Before And After Videos

Closed rhinoplasty involves incisions which are confined to the inside of the nose. Though this results in no visible scarring, the procedure offers less visibility of the inside of the nose and is typically not possible for more complex cases. Hump reduction, on the other hand, can be performed with closed rhinoplasty. The alar rim graft is placed in the pocket and extends the entire length of the alar to the region of the soft tissue triangle. Customizing the appearance of the medial end of the alar rim graft is often necessary to balance the alar rim. When the skin flap is redraped, the alar rim graft needs to be pulled down into the correct position under the alar rim. If a closed approach is used, alar rim grafts may be placed via a rim incision and sutured to the vestibular tissue with 5-0 chromic or slid into a small pocket via a small rim incision after careful sharp dissection is performed through the alar rim. Video produced by SPORE Medical

In the majority of my primary and revision rhinoplasties in males, a columellar strut is placed. This graft sets the foundation for tip projection as the nasal tip is rebuilt. Columellar struts may be carved from septal cartilage (my preference), auricular cartilage or rib cartilage. If the patient has had a septoplasty in the past, palpation of the septum may help determine if any significant cartilage remains. In many instances, cartilage is present along the dorsal septum. In addition to the endonasal approach, dorsal septal cartilage may be harvested from the open approach by elevating the middle vault mucoperichondrium from the septum following release of the caudal end of the upper lateral cartilage. Dorsal septum maybe harvested without loss of dorsal support as long as at least one centimeter of septum is preserved. If the septal cartilage harvested is short, two segments may be sutured to one another towards their distal ends.Video Produced by Spore Medical

Closed rhinoplasty involves incisions which are confined to the inside of the nose. Though this results in no visible scarring, the procedure offers less visibility of the inside of the nose and is typically not possible for more complex cases. Hump reduction, on the other hand, can be performed with closed rhinoplasty. Dr. Paul S. Nassif is a world renowned facial plastic surgeon in the Beverly Hills - Los Angeles area whose work has been featured on numerous international and national television and print media. Video Produced by Spore Medical

the before and after of a lengthy work shift. and an example of the creativity killer that is the daily grind.