Reconstructive Rhinoplasty

This is a case that involves the repair of a deviated septum - called a septoplasty - but not your usual septoplasty. Septoplasty Terminology Some patients actually call the procedure 'a deviated septum' - as in they "underwent 'a deviated septum' last week" - but this is not a correct…

One of the more challenging types of reconstructive rhinoplasty involves repair of a caudal septum deviation. Caudal Septum So what is the caudal septum you might ask? The caudal septum refers to the portion of the nasal septum that sits right behind the columella - which is the column that…

Pinched Nose Following Rhinoplasty This is a great case example that demonstrates repair of a pinched nasal tip. This gentleman had previously undergone rhinoplasty surgery performed by a different plastic surgeon a few decades ago. Unfortunately, as time went on, his nasal tip began to collapse on both sides -…

This is a great case example of how revision rhinoplasty can help correct functional problems following previous, unsuccessful rhinoplasty surgery. This patient was referred to my office by a past rhinoplasty patient of mine. He had undergone nose surgery that was performed by a plastic surgeon in the Orange County area. Unfortunately,…

This is a case example of a patient who desired to have her nose reshaped following two prior unsuccessful attempts performed by a different plastic surgeon. Her surgeries were performed over 10 years prior. Since then, her nose developed asymmetric collapse of the tip region - with more collapse seen…

Osteotomies are a specific maneuver performed during rhinoplasty surgery to help narrow a wide nasal bridge and/or to straighten a crooked bridge. This rhinoplasty tutorial here focuses on the former - using osteotomies to narrow what is seen as a wide nasal bone. This young lady consulted with me for…

Many patients in this area of the country are, unfortunately, diagnosed with various types of skin cancer involving the nose. The procedure done to remove the skin cancer is often times referred to as 'MOHS surgery' and is most commonly performed by specialized dermatologists. In many cases, the nose can…

Functional septorhinoplasty, or functional rhinoplasty, is a term often used to reference several different types of reconstructive nose surgery intended to improve the function of the nose. In essence, it is surgery being performed to help a patient breathe better through their nose. There is a wide variety of techniques that may need…