I will divide some of these procedures as follows: Plasty techniques, Suture techniques, Lateral crura options, butterfly grafts and synthetic injectable grafts. I plan to discuss most if not all in more detail in upcoming posts.
- Flaring Sutures
- Nasal Valve Suspension
- M-Plasty technique
- Z Plasty technique
- autologous grafts from ear
- Titanium expanded polytetrafluoroethlene e-PTFE
Alar Expansion and Reinforcement technique
Lateral crura options (Some of these graft procedures are performed together or in combination with other procedures and therefore considered Major Nose Revision Surgery)
- Lateral strut grafts
- Flip Flop grafts
- Alar batten grafts
- Alar rim grafts
- Lateral Crus Pull-up
- Lateral Crural J-Flap
Narrowing the Columella for (ENVC)
Injectable spreader grafts *note
- hydroxyapatite (Radiesse)
- hyaluronic acid (Restylane)
The most concerning phenomenon is that many dermatologists, generalists and surgeons are performing non-surgical rhinoplasties. In these cases, semi-permanent or permanent injectable filler materials are being injected into the nose to make long lasting contour changes. Some of those who are performing the injections are not rhinoplasty surgeons and may have little if any understanding of the nasal anatomy and nasal aesthetics. I have seen many patients treated by such physicians with severe nasal skin envelope problems such as infection, swelling, pain, permanent redness and deformity. Unfortunately, many of these patients cannot be helped because correction of the problem requires resection of the filler material. Resection puts these patients at severe risk of permanent skin damage in the form of intense redness or skin necrosis, leaving a hole in their nose. Additionally, we do not know the long term effects of such materials on the nasal skin envelope.
There is an intense need for scientifically sound research that demonstrates the safety and efficacy of these materials in the nose. Scientific research may show that these filler materials when placed deeply against the bone and cartilage are safe when used in the nose. The nose is a very important structure of the face that greatly influences the overall facial appearance. Caution should be taken when doing anything that could potentially damage the nose and leave the patient with a permanent deformity.
Confused about what's the difference between Lateral crural strut grafts and alar strut grafts? Or rim grafts and Alar batten grafts?
Alar strut grafts and Lateral crural strut grafts are same. But Alar batten grafts are not the same. For more detailed info click on links provided within the following link.