Rhinoplasty

Rhinoplasty
Fig. 3.29 Rhinoplasty. The appearance of a nose with a congenital or traumatic hump of the nasal bones can be improved with rhinoplasty (a, b; c, d). A deviated nose may be straightened (e, f).
Rhinoplasty Correct Bifid Tip Bifidity Nasal Tip

Fig. 3.30a-f Nasal tip rhinoplasty. Bulbous or bifid nasal tips can be modified (a, b). Incisions for rhinoplasty are within the nasal vestibule and access to the nasal bones, cartilages, and septum may be obtained with an intranasal (or external, see Fig. 3.31) approach.

Fig. 3.30a-f Nasal tip rhinoplasty. Bulbous or bifid nasal tips can be modified (a, b). Incisions for rhinoplasty are within the nasal vestibule and access to the nasal bones, cartilages, and septum may be obtained with an intranasal (or external, see Fig. 3.31) approach.

Nasal Vestibule Carcinoma

Fig. 3.31a-c External rhinoplasty. A

transverse incision across the columella (with a "notch" to give a minimally perceptible scar) enables the skin of the nose to be elevated superiorly with exposure of all the underlying structures (b).

This rhinoplasty approach is used for many of the grosser nasal deformities, e.g., cleft-lip nasal deformities. It also enables lesions on the dorsum of the nose to be excised without an obvious overlying scar. The lesion being removed here is a nasal sinus (c).

External Rhinoplasty

Fig. 3.31a-c External rhinoplasty. A

transverse incision across the columella (with a "notch" to give a minimally perceptible scar) enables the skin of the nose to be elevated superiorly with exposure of all the underlying structures (b).

This rhinoplasty approach is used for many of the grosser nasal deformities, e.g., cleft-lip nasal deformities. It also enables lesions on the dorsum of the nose to be excised without an obvious overlying scar. The lesion being removed here is a nasal sinus (c).

Pleomorphic Adenoma Scar
Fig. 3.32 Mentoplasty. The improvement with rhinoplasty in this case has been accentuated by mentoplasty.
Mentoplasty

Fig. 3.33 A silastic implant has been inserted adjacent to the mandible. A receding chin is not to be overlooked in a patient seeking rhinoplasty, for it accentuates the nasal deformity, and mentoplasty gives a subtle but striking improvement in appearance. This implant may be introduced either by an external submental incision or on intraoral incision via the mucosa of the buccal sulcus.

Fig. 3.33 A silastic implant has been inserted adjacent to the mandible. A receding chin is not to be overlooked in a patient seeking rhinoplasty, for it accentuates the nasal deformity, and mentoplasty gives a subtle but striking improvement in appearance. This implant may be introduced either by an external submental incision or on intraoral incision via the mucosa of the buccal sulcus.

Submental Incision
Fig. 3.34 Marked mandibular underdevelopment (a) in which a mandibular advancement to restore dental occlusion as well as the esthetics was combined with a rhinoplasty (b). The radiograph (c) shows the sliding advancement and wiring of the mandibular bone.
Intraoral Discoid Lupus
How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

Get My Free Ebook


Post a comment