Background
Primary and revision rhinoplasty are challenging procedures. In order to obtain aesthetically pleasing results, ensure patient satisfaction, and minimize complications, the rhinoplasty surgeon must possess a thorough knowledge of nasal anatomy and ideal facial aesthetic proportions. The rhinoplasty surgeon must also be familiar with all types of graft material and the current methods to correct nasal deformities. This article addresses augmentation of the deficient nose, as seen in the images below.
Young boy with bilateral cleft lip and palate who also has midface hypoplasia and requires nasal augmentation.
Young boy (same patient as in previous image) with bilateral cleft lip and palate who also had midface hypoplasia and required nasal augmentation, shown after dorsal nasal augmentation was accomplished using autologous rib grafts. It was fashioned slightly larger than needed to account for the patient’s future facial growth.
Woman with a subtype of midline granulomatous disease that caused nasal collapse. Augmentation was required.
Woman (same patient as in previous image) with a subtype of midline granulomatous disease that caused nasal collapse, shown after augmentation with both autologous rib and cartilage grafts. AlloDerm was also used for additional augmentation.