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Example of a necessary indication of structure rhinoplasty to correct a series of problems that would not otherwise be treatable and could not obtain a good rhinoplasty result; the main technical challenges were senile cause tip ptosis or droopiness, the tip support asymmetry that deviated it and was also excessively long, the dorsal rhombus, the malposition of lateral cruras and the high height of a dorsum that had no hump; all in a context of thick, sebaceous, aged and excessive nasal skin with poor contraction properties, which forces to apply expansive maneuvers that provide strain to the nasal cover in order to prevent deformities.

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Alar flaring,Asymmetric nose,Asymmetric tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dorsum ridges,Droopy tip,Dynamic alar flaring,Flat dorsum,High dorsum,High radix,Humpless dorsum,Large alar cartilages,Large nose,Large nostrils,Large sills,Long nose,Long septum,Long upper lateral cartilages,Overprojected tip,Parenthesis tip deformity,Plunging tip deformity,Poorly defined tip,Poorly supported tip,Rhomboid dorsum,Thick skin nose,Tip bossae,Alar base resection alarplasty,Alar contour rim graft,Columella strut graft,Custom made tip graft,Dorsum hump resection,Dorsum plateau resection,Ear cartilage graft harvesting,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras cephalic resection,Lateral cruras repositioning,Lateral cruras shortening resection,Medial cruras shortening resection,Nasal bones osteotomies,Nostril sill resection,Open approach incision,Radix resection,Septal cartilage graft harvesting,Shield tip graft,Spreader graft,Tip defatting,Tongue in groove columella setback,Transdomal tip plasty scoring,Transdomal tip plasty sutures,Triangular cartilages caudal resection - photo 1
Alar flaring,Asymmetric nose,Asymmetric tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dorsum ridges,Droopy tip,Dynamic alar flaring,Flat dorsum,High dorsum,High radix,Humpless dorsum,Large alar cartilages,Large nose,Large nostrils,Large sills,Long nose,Long septum,Long upper lateral cartilages,Overprojected tip,Parenthesis tip deformity,Plunging tip deformity,Poorly defined tip,Poorly supported tip,Rhomboid dorsum,Thick skin nose,Tip bossae,Alar base resection alarplasty,Alar contour rim graft,Columella strut graft,Custom made tip graft,Dorsum hump resection,Dorsum plateau resection,Ear cartilage graft harvesting,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras cephalic resection,Lateral cruras repositioning,Lateral cruras shortening resection,Medial cruras shortening resection,Nasal bones osteotomies,Nostril sill resection,Open approach incision,Radix resection,Septal cartilage graft harvesting,Shield tip graft,Spreader graft,Tip defatting,Tongue in groove columella setback,Transdomal tip plasty scoring,Transdomal tip plasty sutures,Triangular cartilages caudal resection - photo 2
Alar flaring,Asymmetric nose,Asymmetric tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dorsum ridges,Droopy tip,Dynamic alar flaring,Flat dorsum,High dorsum,High radix,Humpless dorsum,Large alar cartilages,Large nose,Large nostrils,Large sills,Long nose,Long septum,Long upper lateral cartilages,Overprojected tip,Parenthesis tip deformity,Plunging tip deformity,Poorly defined tip,Poorly supported tip,Rhomboid dorsum,Thick skin nose,Tip bossae,Alar base resection alarplasty,Alar contour rim graft,Columella strut graft,Custom made tip graft,Dorsum hump resection,Dorsum plateau resection,Ear cartilage graft harvesting,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras cephalic resection,Lateral cruras repositioning,Lateral cruras shortening resection,Medial cruras shortening resection,Nasal bones osteotomies,Nostril sill resection,Open approach incision,Radix resection,Septal cartilage graft harvesting,Shield tip graft,Spreader graft,Tip defatting,Tongue in groove columella setback,Transdomal tip plasty scoring,Transdomal tip plasty sutures,Triangular cartilages caudal resection - photo 3
Alar flaring,Asymmetric nose,Asymmetric tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dorsum ridges,Droopy tip,Dynamic alar flaring,Flat dorsum,High dorsum,High radix,Humpless dorsum,Large alar cartilages,Large nose,Large nostrils,Large sills,Long nose,Long septum,Long upper lateral cartilages,Overprojected tip,Parenthesis tip deformity,Plunging tip deformity,Poorly defined tip,Poorly supported tip,Rhomboid dorsum,Thick skin nose,Tip bossae,Alar base resection alarplasty,Alar contour rim graft,Columella strut graft,Custom made tip graft,Dorsum hump resection,Dorsum plateau resection,Ear cartilage graft harvesting,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras cephalic resection,Lateral cruras repositioning,Lateral cruras shortening resection,Medial cruras shortening resection,Nasal bones osteotomies,Nostril sill resection,Open approach incision,Radix resection,Septal cartilage graft harvesting,Shield tip graft,Spreader graft,Tip defatting,Tongue in groove columella setback,Transdomal tip plasty scoring,Transdomal tip plasty sutures,Triangular cartilages caudal resection - photo 4
Alar flaring,Asymmetric nose,Asymmetric tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dorsum ridges,Droopy tip,Dynamic alar flaring,Flat dorsum,High dorsum,High radix,Humpless dorsum,Large alar cartilages,Large nose,Large nostrils,Large sills,Long nose,Long septum,Long upper lateral cartilages,Overprojected tip,Parenthesis tip deformity,Plunging tip deformity,Poorly defined tip,Poorly supported tip,Rhomboid dorsum,Thick skin nose,Tip bossae,Alar base resection alarplasty,Alar contour rim graft,Columella strut graft,Custom made tip graft,Dorsum hump resection,Dorsum plateau resection,Ear cartilage graft harvesting,Extended columella strut graft,Intercrural columella plasty sutures,Interdomal tip plasty sutures,Lateral cruras batten graft,Lateral cruras cephalic resection,Lateral cruras repositioning,Lateral cruras shortening resection,Medial cruras shortening resection,Nasal bones osteotomies,Nostril sill resection,Open approach incision,Radix resection,Septal cartilage graft harvesting,Shield tip graft,Spreader graft,Tip defatting,Tongue in groove columella setback,Transdomal tip plasty scoring,Transdomal tip plasty sutures,Triangular cartilages caudal resection - photo 5

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  TECHNICALITIES

  • AREAS

  • TREATMENTS

    Structure Rhinoplasty
  • DIAGNOSES APPLICABLE

    Alar flaring
    Asymmetric nose
    Asymmetric tip
    Boxy tip
    Broad dorsum
    Broad nose
    Bulbous tip
    Dorsum ridges
    Droopy tip
    Dynamic alar flaring
    Flat dorsum
    High dorsum
    High radix
    Humpless dorsum
    Large alar cartilages
    Large nose
    Large nostrils
    Large sills
    Long nose
    Long septum
    Long upper lateral cartilages
    Overprojected tip
    Parenthesis tip deformity
    Plunging tip deformity
    Poorly defined tip
    Poorly supported tip
    Rhomboid dorsum
    Thick skin nose
    Tip bossae
  • TECHNIQUES EMPLOYED

    Alar base resection alarplasty
    Alar contour rim graft
    Columella strut graft
    Custom made tip graft
    Dorsum hump resection
    Dorsum plateau resection
    Ear cartilage graft harvesting
    Extended columella strut graft
    Intercrural columella plasty sutures
    Interdomal tip plasty sutures
    Lateral cruras batten graft
    Lateral cruras cephalic resection
    Lateral cruras repositioning
    Lateral cruras shortening resection
    Medial cruras shortening resection
    Nasal bones osteotomies
    Nostril sill resection
    Open approach incision
    Radix resection
    Septal cartilage graft harvesting
    Shield tip graft
    Spreader graft
    Tip defatting
    Tongue in groove columella setback
    Transdomal tip plasty scoring
    Transdomal tip plasty sutures
    Triangular cartilages caudal resection

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