Endonasal suture techniques in tip rhinoplasty.

Abstract:

:Suture modification techniques have long served as reliable methods to surgically improve nasal tip contour by allowing control of width, projection, and rotation during rhinoplasty. Tip abnormalities characterized by a wide or broad shape are particularly amenable to such techniques. In the senior author's hands (SWP), the endonasal double-dome tip-sculpting technique has become a workhorse for the correction of the wide tip complex. When combined with additional techniques, the double-dome technique allows for the correction of various abnormalities falling under the umbrella of a broad tip (ie, boxy, bifid, bulbous, trapezoid, amorphous), while still adhering to the tenets of modern rhinoplasty philosophy. The authors present a paradigm for surgical planning, along with a series of case studies highlighting the capabilities of various suture techniques performed with the endonasal approach.

authors

Perkins S,Patel A

doi

10.1016/j.fsc.2008.10.004

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

41-54, vi

issue

1

eissn

1064-7406

issn

1558-1926

pii

S1064-7406(08)00070-9

journal_volume

17

pub_type

杂志文章,评审
  • Volumetric facelift with intra- and post-operative midface volume replacement "the four-dimensional facelift".

    abstract::Cosmetic rejuvenation of the lower face can be accomplished effectively with facelift surgery; however, aesthetic outcomes are significantly improved when surgical traction combined with midface volume restoration is achieved and perpetuated. Incorporating the current understanding of the evolving process of facial ma...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.fsc.2009.06.004

    authors: Bassichis BA

    更新日期:2009-11-01 00:00:00

  • Medpor alternative for microtia repair.

    abstract::Autologous costal cartilage has been the material of choice for framework in auricular reconstruction. However, the advent of porous high-density polyethylene (Medpor) has provided an effective alternative in microtia repair. A ready-to-use allopastic material, Medpor has distinguished itself from other implants via i...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2006.01.006

    authors: Romo T 3rd,Presti PM,Yalamanchili HR

    更新日期:2006-05-01 00:00:00

  • Anatomic considerations, analysis, and the aging process of the perioral region.

    abstract::The perioral region has certain anatomic characteristics that make it unique and responsive to different types of rejuvenation treatments, including surgery, soft tissue fillers, laser, and chemical peeling. An understanding of the structural anatomy, relationships to other facial units, attractiveness, and analysis o...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2007.08.006

    authors: Perkins SW,Sandel HD 4th

    更新日期:2007-11-01 00:00:00

  • Eight worst advertising mistakes.

    abstract::This article presents strategies for advertising the medical practice. The emphasis is on breaking out of the old rules of how one should advertise and delves into asking questions that lead to a true strategy unique to one's medical practice and offerings. The article discusses the myriad ways to think about and crea...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2010.06.007

    authors: Maley C

    更新日期:2010-11-01 00:00:00

  • The management of alar columellar disproportion in revision rhinoplasty.

    abstract::An otherwise attractive nose can be diminished aesthetically if the relationship of the nostril border and ala to the columella is not refined and proportional. Compared with other aspects of rhinoplasty, there has been little attention devoted to the proper diagnosis and treatment of alar columellar disproportion. Th...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2006.06.015

    authors: Kridel RW,Chiu RJ

    更新日期:2006-11-01 00:00:00

  • Cutaneous lesions: benign and malignant.

    abstract::This article reviews the clinical characteristics, histology, biologic behavior, and recommended treatment for several benign and malignant lesions that may arise on the head and neck. Nevus sebaceus and congenital melanocytic nevus are two benign lesions that can present at a size of several centimeters. Surgical exc...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2004.11.006

    authors: Padgett JK

    更新日期:2005-05-01 00:00:00

  • Tessier Clefts and Hypertelorism.

    abstract::Tessier's classification system for rare craniofacial clefts remains the most widely used today. It denotes the position of the cleft process in a schema based around the orbit, and facilitates communication between surgeons regarding these complicated conditions. Tessier's classification is reviewed in detail, and a ...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2016.06.013

    authors: Winters R

    更新日期:2016-11-01 00:00:00

  • Controversies in the Management of Patients with Cleft Lip and Palate.

    abstract::Cleft lip and palate is one of the most common congenital anomalies. For many years, surgeons have been attempting to reduce the severity of the deformity before the surgical repair to achieve a better outcome. The nasoalveolar molding technique uses acrylic nasal stents attached to the vestibular shield of an oral mo...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2016.03.004

    authors: Rodman RE,Tatum S

    更新日期:2016-08-01 00:00:00

  • Uncommon cutaneous neoplasms of the head and neck.

    abstract::This article concentrates on the less-common cutaneous malignancies such as merkel cell, atypical fibroxanthoma, malignant fibrous histiocytoma, dermatofibrosarcoma protuberans, microcystic adnexal carcinoma, and sebaceous carcinoma. The clinical and histopathologic descriptions of each, most current and emerging etio...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2012.08.002

    authors: Reinstadler DR,Sinha UK

    更新日期:2012-11-01 00:00:00

  • Issues in Pediatric Craniofacial Trauma.

    abstract::Pediatric maxillofacial fractures are rare owing to anatomic differences between juvenile and adult skulls. Children's bone is less calcified, allowing for "greenstick fractures." The overall ratio of cranial to facial volume decreases with age. In children, tooth buds comprise the majority of mandibular volume. The m...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2017.06.009

    authors: Chandra SR,Zemplenyi KS

    更新日期:2017-11-01 00:00:00

  • Altering brow contour with botulinum toxin.

    abstract::Brow position is determined by a dynamic interaction between depressor and elevator muscles. Botulinum toxin may be used to temporarily alter this equilibrium to result in a change in brow position. Knowledge of the anatomy of the brow depressors and elevators allows selective treatment of these muscles to effect a ch...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章

    doi:10.1016/S1064-7406(03)00072-5

    authors: Chen AH,Frankel AS

    更新日期:2003-11-01 00:00:00

  • Management of advanced hair loss patterns.

    abstract::This article covers how to manage patients with extensive hair loss in whom complete, dense coverage is not possible. In addition to discussing planning a transplant pattern for already bald men, I discuss a conservative approach for recognizing and transplanting younger patients who have telltale warning signs that m...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2013.05.008

    authors: Beehner ML

    更新日期:2013-08-01 00:00:00

  • Mesenchymal Stem Cells and Stromal Vascular Fraction for Hair Loss: Current Status.

    abstract::The current state of the applicability of cell therapy for the treatment of various conditions of hair loss reveals a promising and potentially effective role. Further research, based on published work to date, is indicated to further explore the potential roles of autologous fat grafting, mesenchymal stem cells, and ...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2018.06.010

    authors: Epstein GK,Epstein JS

    更新日期:2018-11-01 00:00:00

  • Beard Hair Transplantation.

    abstract::In the field of hair restoration, there has been a significant increase in demand with patients for facial hair transplantation procedures. Modern techniques in hair transplantation allow for facial hair transplantation and for the attainment of natural-appearing results. Facial hair transplantation is a subspecialty ...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2020.01.010

    authors: Bared A

    更新日期:2020-05-01 00:00:00

  • Imaging of vascular lesions of the head and neck.

    abstract::The imaging armamentarium for imaging head and neck vascular lesions and the imaging features of each have been reviewed. Imaging is an indispensable part of the diagnosis and treatment planning of these lesions. The architecture and vascularity of these lesions are keys to their correct diagnosis. High-flow lesions (...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Curé JK

    更新日期:2001-11-01 00:00:00

  • Adipocyte-derived stem cells for the face.

    abstract::This review gives a basic overview of the current state of fat transplantation in view of adipose-derived stem cells. Current technologies regarding facial rejuvenation are presented, with a brief review of the procedures. ...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.fsc.2012.02.012

    authors: Boxrud CA

    更新日期:2012-05-01 00:00:00

  • Radiofrequency nonablative tissue tightening.

    abstract::Minimally invasive procedures have become an extremely important component of a facial cosmetic surgery practice. This article describes a new radiofrequency device that tightens soft tissue without ablating the skin. The net result of this is a noninvasive brow lift, facelift, or neck lift. This modality does not rep...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2004.02.007

    authors: Koch RJ

    更新日期:2004-08-01 00:00:00

  • Health Outcome Studies in Skin Cancer Surgery.

    abstract::As cutaneous cancers are the most common malignancies affecting US citizens, they represent a significant public health problem and health care cost burden. There are a variety of treatment options available to manage cutaneous malignancies, but limited data are available regarding outcomes, including quality of life,...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2018.08.013

    authors: Olds CE,Pepper JP

    更新日期:2019-02-01 00:00:00

  • Difficult revision case: Overaggressive resection.

    abstract::This article reviews the case of a 45-year-old female who had undergone previous rhinoplasty in which there had been overaggressive resection of the nasal skeletal architecture. A revision rhinoplasty was preformed using available autogenous septal cartilage and various porous high-density polyethylene implants. One y...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.fsc.2006.06.009

    authors: Romo T 3rd,Kwak ES

    更新日期:2006-11-01 00:00:00

  • How to Leverage Social Media in Private Practice.

    abstract::Social media has become a rising popular online medium for facilitating the exchange of information and ideas for the purpose of education and networking, especially in the realm of plastic surgeon. It is important for facial plastic surgeons in private practice to recognize the influence of and engagement in social m...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2020.07.002

    authors: Ho TT,Dayan SH

    更新日期:2020-11-01 00:00:00

  • An Evidence-Based Approach to Facial Reanimation.

    abstract::This article provides an overview of the current state of the art of facial reanimation using the best available evidence. Medical, surgical, and physical therapy options in acute and long-standing facial palsy are discussed. ...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2015.04.005

    authors: Jowett N,Hadlock TA

    更新日期:2015-08-01 00:00:00

  • The brow and forehead in periocular rejuvenation.

    abstract::Recognition of the brow as an integral contributor to periocular appearance improves and prolongs results from facial rejuvenation surgery. The approach to the brow and forehead in periocular rejuvenation must be chosen on an individual basis. The approaches discussed require in-depth knowledge of complex forehead and...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.fsc.2010.04.002

    authors: Hetzler L,Sykes J

    更新日期:2010-08-01 00:00:00

  • Contemporary techniques for effective nasal lengthening.

    abstract::The short nose deformity is a complex entity with diverse causes and variable characteristics. This article divides shortening into anterior and pan-nose shortening as well as mild, moderate, or severe. Mild anterior shortening can be corrected with shield grafting, whereas moderate to severe shortening can be correct...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2014.09.006

    authors: Katira K,Guyuron B

    更新日期:2015-02-01 00:00:00

  • Complications/sequelae of neck rejuvenation.

    abstract::Neck lift surgery performed in isolation or in conjunction with a facelift provides a more youthful cervicomental angle. Complications related to neck lift surgery vary from contour irregularities that may improve with time or conservative measures,to contour irregularities that persist and may benefit from delayed su...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2014.01.007

    authors: Batniji RK

    更新日期:2014-05-01 00:00:00

  • Reconstruction of eyelid defects.

    abstract::Reconstruction of the eyelids is highly complex because of their function and critical role in appearance. Optimal restoration of their form and function depends on a firm understanding of normal eyelid position, the structural support system of the eyelids, and the forces that act to keep the eyelids in precise balan...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2009.04.005

    authors: Suryadevara AC,Moe KS

    更新日期:2009-08-01 00:00:00

  • Ptosis repair for the cosmetic surgeon.

    abstract::The cosmetic surgeon must be familiar with the evaluation and management of the ptotic eyelid. A small amount of unrecognized preoperative eyelid ptosis can seem obtrusive if it is unmasked after blepharoplasty. As such, ptosis repair is an important adjunctive procedure in cosmetic eyelid surgery. This article descri...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2005.06.005

    authors: Massry GG

    更新日期:2005-11-01 00:00:00

  • Starting a cleft team: a primer.

    abstract::Facial plastic surgeons have a comprehensive understanding of the challenges that patients with cleft lip and palate encounter in form and function. Because there are areas in the United States where access to cleft care is limited, opportunities exist for facial plastic surgeons to develop cleft teams to provide grea...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.fsc.2014.08.001

    authors: Capone RB,Butts SC,Jones LR,Cleft and Craniofacial Subcommittee of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) Specialty Surgery Committee.

    更新日期:2014-11-01 00:00:00

  • Concurrent functional endoscopic sinus surgery and rhinoplasty: pros.

    abstract::Despite historical concerns about the spread of infection from the sinuses to the nasal tissues,concurrent septorhinoplasty and endoscopic sinus surgery may be performed safely in most patients who meet the criteria for sinus surgery. However, otolaryngologists should use good medical judgment in selecting patients ap...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2004.04.007

    authors: McGraw-Wall B,MacGregor AR

    更新日期:2004-11-01 00:00:00

  • Perioral rejuvenation and lip augmentation.

    abstract::In general, the aging process of the face is a process of atrophy, most noticeable in the perioral region. This article discusses rejuvenation of the perioral region, including fillers, surgery, and facial resurfacing, as correction for this process. Detailed techniques for each of the approaches are outlined. Composi...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2007.08.008

    authors: Ali MJ,Ende K,Maas CS

    更新日期:2007-11-01 00:00:00

  • The Case for Synthetic Injectables.

    abstract::There are several different classes of synthetic dermal fillers and volume enhancers including semipermanent and permanent products available in the United States. Based on clinical and scientific evidence, this article reviews the chemical and polymeric properties, clinical data, patient selection, indications for us...

    journal_title:Facial plastic surgery clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.fsc.2015.07.003

    authors: Joseph JH

    更新日期:2015-11-01 00:00:00