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This case allows understanding the entire anatomical features and all the technical requirements of Afroamerican, Afrocaribbean and African noses rhinoplasties, keeping in mind that great part of their features are common to other ethnicities like the Asian, Philippine, etc; the reader may acquire profound knowledge about the underlying skeletal peculiarities causing the characteristic shape in this ethnicity noses and what are the reasons behind their very high surgical difficulty, which explains why there are very few surgeons really trained, capacitated and skilled in such ethnic rhinoplasties and why most surgeons are tempted to employ simpler but disappointing, when not failed or even problematic, resolution methods.

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African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 1
#1The typical main issues in Afroamerican, Afrocaribbean and African noses are the subtotal absence of the dorsum at the nasal pyramid, with special emphasis at the very deep radix, broad and undefined dorsum, bulbous and undefined tip, poorly ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 2
#2The theoretical technical requirements for the nasal profile essentially consist in massive dorsum augmentation, nasal lengthening, tip lengthening and tip redefinition; note how the columella is sunken between the nostrils due to the severely ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 3
#3The arrows point to the weak, filmy and mechanically unsupportive lateral cruras, note how they are unable to stand by the burden of the skin; the lower circle spots the interdomal and intercrural fibrofatty mass; the upper circle spots the ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 4
#4The circle spots the large fibrofatty pad which is the cause of this ethnically enlarged tip; the geographic line spots how the fibrofatty mass infiltrates between the medial cruras and spreads over the lateral cruras.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 5
#5The arrows point to the weak, filmy and mechanically unsupportive lateral cruras; note the mass of fibrofatty tissue enlarging the supratip, the tip, the alae and the columella.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 6
#6The forceps grasps the interdomal fibrofatty mass.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 7
#7Pulling from the interdomal fibrofatty mass allows a realistic idea of its enormous importance in these ethnic rhinoplasties.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 8
#8Pulling from the tip's fibrofatty mass allows a realistic idea of its enormous importance in these ethnic rhinoplasties.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 9
#9Meticulous, comprehensive and delicate defatting of all areas; the medial cruras (M), the tip domes (D) and the lateral cruras (L) are totally clean of the enlarging mass of fat; note the dorsum and the skin also free of the fibrofatty mass.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 10
#10Eversion maneuver to show how the skin cover and the large fibrofatty pad has been meticulously and carefully removed; no trace of the fibrofatty mass in the rest of the skeletal structures.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 11
#11The inner side of the medial cruras has been also cleansed of the fibrofatty mass.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 12
#12Pulling from both alar cartilages shows their entire surfaces clean of the fibrofatty mass; this defatting maneuver is of paramount important in these ethnic rhinoplasties; the dorsum (D) and the septum (S) are clean and accessible.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 13
#13This is the right 7th rib donor site seen from the surgeon's perspective, the landmarks are patient's head below and feet above of the image, sternum on the left and armpit at the right of the image; the 7th rib has already been dissected; see ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 14
#14The dissector is inserted beneath the 7th rib cartilage, note how atypically small was in this patient; the layers that have to be crossed to reach the rib cartilage are the skin, the subcutaneous (SC) fat, the rectus abdominis muscle (M) and ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 15
#15The dissector is inserted beneath the 7th rib cartilage and lies on top of the 6th one.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 16
#16The cartilage segment of the 7th rib already freed from its perichondrium sheath and ready to be sculpted; in spite it seems enormous compared with the size of a nose, it is to be taken into account that a large part of it has to be discarded ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 17
#17In detail view of the problematic synchondroses, between 6th and 7th ribs (SC 6+7) and between 7th and 8th ribs (SC 7+8); the rib arcs are numbered (6, 7 and 8).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 18
#18The extracted cartilage segment of the 7th rib rotated to show its thin profile; at this stage it was deemed necessary harvesting the 6th rib as well in order to obtain material for the dorsum replacement graft. However this thin rib cartilage ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 19
#19After extracting the 7th rib cartilage it can be clearly visible the subcutaneous (SC) fat, the rectus abdominis muscle (M), the perichondrium (PC) and the stump of the transected rib cartilage (C); the rib arcs are numbered (6, 7 and 8).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 20
#20The cartilage segment of the 6th rib already freed from its perichondrium sheath and ready to be sculpted; in spite it seems enormous compared with the size of a nose, it is to be taken into account that a large part of it has to be discarded ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 21
#21The dissector is inserted beneath the 6th rib cartilage; in detail view of the problematic synchondroses, between 5th and 6th ribs (SC 5+6) and between 6th and 7th ribs (SC 6+7).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 22
#22The dissector is inserted beneath the 6th rib cartilage and lies on top of the 5th one; the large size of the 6th rib cartilage made it optimal to sculpt out of it dorsum replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 23
#23The dissector is inserted beneath the 6th rib cartilage and lies on top of the 5th one; the forceps grasps the thick perichondrium which is the sheath around the rib cartilage.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 24
#24Note the lower circle showing the synchondrosis or fusion bridge between the 6th rib and the upper 5th rib; the upper circle spots the synchondrosis between the 6th and the 7th rib; these synchondroses make the dissection difficult and delicate.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 25
#25The forceps grasps the 6th rib cartilage, straight, long, thick and strong enough as to act as dorsal replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 26
#26The extracted cartilage segment of the 6th rib rotated to show its thick profile; the circle spots the synchondrosis between 6th and 7th rib cartilages.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 27
#27The extracted cartilage segment of the 6th rib rotated to show its thick profile; the circle spots the synchondrosis between 6th and 5th rib cartilages.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 28
#28The rib arcs are numbered (5, 6, 7 and 8); 6th and 7th have been harvested and their perichondrium sheaths are opened and empty.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 29
#29Theoretical design planned for the dorsal block of cartilage graft, with differential superior (S) and inferior (I) ends, a smooth gradient at the dorsal surface (D) and the carved cylinder at the ventral surface (V). Seen from the lateral ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 30
#30Axial section of the theoretical design planned for the dorsal block, showing how the assembly achieved interlocking stability; the original nose (N) fits within the graft undersurface.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 31
#31Dorsal view of the cartilage block acting as radix, bridge and supratip replacement graft and as stabilization element; note how each of its ends has a different design to allow a perfect adjustment within the remaining anatomy.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 32
#32Prismatic scheme of the dorsal replacement graft three dimensional design; the superior (S) and inferior (I) ends of the dorsal graft seen from above; the lines represent the customized design and the humanization of the new dorsum which makes ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 33
#33Lateral view of the dorsal replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 34
#34Prismatic scheme of the dorsal replacement graft three dimensional design; the lines remark the very special geometrical design of the dorsal block; the superior (S) and inferior (I) ends of it are designed in different manner; the superior ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 35
#35Inferior view of the dorsal replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 36
#36Prismatic scheme of the dorsal replacement graft three dimensional design; the lines remark the very special geometrical design of the dorsal block; the superior (S) and inferior (I) ends of it are designed in different manner; the superior ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 37
#37The superior (S) and inferior (I) ends of the dorsal graft seen from below; undersurface of the dorsal cartilage block showing the hollow cylinder which will act as stabilization element to achieve interlocking with the nasal dorsum; note how ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 38
#38Axial view of the dorsum replacement graft; note the hollow undersurface.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 39
#39The original patient's dorsum is planned to fit and lock the dorsal graft at its hollow cylinder.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 40
#40Adson forceps sized 12 cm are a reference for understanding the dimensions of the dorsal block of cartilage; superior view.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 41
#41The final stage of dorsum replacement graft shaping is tailoring the prong that will fit into the extended tip and columella replacement graft; view from above.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 42
#42Prismatic scheme of the dorsal replacement graft and its interlocking prong three dimensional design; the superior (S) and inferior (I) ends of the dorsal graft seen from above; the lines represent the customized design and the humanization ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 43
#43Lateral view of the dorsal replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 44
#44Prismatic scheme of the dorsal replacement graft and its interlocking prong three dimensional design; the lines remark the very special geometrical design of the dorsal block; the superior (S) and inferior (I) ends of it are designed in different ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 45
#45Inferior view of the dorsal replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 46
#46Prismatic scheme of the dorsal replacement graft three dimensional design; the lines remark the very special geometrical design of the dorsal block; the superior (S) and inferior (I) ends of it are designed in different manner; the superior ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 47
#47Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 48
#48Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 49
#49Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 50
#50Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 51
#51Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 52
#52Out of the smaller 7th rib cartilage the extended tip and columella replacement graft is shaped; a central cubic chip is removed to allow a perfect pressure interlocking with the dorsum replacement graft prong.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 53
#53The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; dorsal view.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 54
#54The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; ventral view.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 55
#55The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; the prong must fit into the cubic gap.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 56
#56The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap size comparison.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 57
#57The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap alignment.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 58
#58The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap alignment.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 59
#59The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap interlocking test.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 60
#60The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap interlocking test.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 61
#61The finished dorsum replacement graft will be tested in order to guarantee stable interlocking of its prong with the still unfinished extended tip and columella replacement graft; prong and gap interlocking test.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 62
#62Perfect alignment and stability between dorsum replacement graft and extended tip and columella replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 63
#63Perfect alignment and stability between dorsum replacement graft and extended tip and columella replacement graft.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 64
#64After finishing shaping the extended tip and columella replacement graft and having passed all the shape and stability tests, this image shows the dorsum, tip and columella neo structure which acts as L shaped dorsocolumellar graft, dorsum augmentation, ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 65
#65This image aims to show the nasal and septal lengthening between the, respectively, triangular cartilages (T) and septum (S) above and below the new skeleton built.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 66
#66This image aims to show the nasal and septal lengthening between the septum (S) above and below the new skeleton built.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 67
#67The triangle outlines the gain in septal length.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 68
#68This image aims to show the nasal and septal lengthening between the septum (S) above and below the new skeleton built.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 69
#69The triangle outlines the gain in septal length.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 70
#70This image aims to show the nasal and septal lengthening between the, respectively, triangular cartilages (T) and septum (S) above and below the new skeleton built.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 71
#71This image aims to show the nasal and septal lengthening between the, respectively, triangular cartilages (multiple parallel lines) and septum (curvy line) above and below the new skeleton built.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 72
#72The original lateral cruras (L) and medial cruras (M) are in massive shortfall to adapt to the new nose and tip lengths, they have to be removed for being useless; the medial cruras are replaced by the tip columella graft, the lateral cruras ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 73
#73Neo cruras (NC) replacing the original lateral cruras and sutured to the tip columella graft; they are longer, stronger and with suitable shape; they were shaped out of the rib cartilage grafting; the original lateral cruras have already been removed.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 74
#74Note the new structure firmly stable, powerfully lengthening the nose and fully reshaping the nose at all its areas.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 75
#75The new columella will be fully horizontal as per the canon; a nice supratip break effect is designed.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 76
#76The new nasal skeleton augments and reshapes the underlying original one.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 77
#77New tip with a pentagonal shape, as per the canons.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 78
#78The dorsum lies firmly locked on top of the original one.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 79
#79Comprehensive view of the neo dorsum, tip, columella and lateral cruras.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 80
#80Assessment of original nose (left) and the intraoperative new nasal skeleton (right), with remarkable differences at the dorsum and the tip; nostrils not treated yet.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 81
#81On the left mapping of the preoperative dorsum and tip shape and projection deficiencies; on the right the prismatic scheme of the dorsal replacement graft and the extended tip columella replacement graft three dimensional designs; nostrils ...Read more
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 82
#82The lines depict the contour ridges of the dorsum, tip an alae of the original nose (left) and the intraoperative new nasal skeleton (right); nostrils not treated yet.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 83
#83Original nose (left) and the intraoperative new nasal skeleton (right); nostrils not treated yet.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 84
#84Original nose (left) and the intraoperative new nasal skeleton (right); nostrils not treated yet.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 85
#85Fleur de lis design of the resection to reduce the nostril sill (inner flat branch), the nostril rim (vertical branch) and the alar flare (outer crescent branch).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 86
#86Fleur de lis design of the resection to reduce the nostril sill (inner flat branch), the nostril rim (vertical branch) and the alar flare (outer crescent branch).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 87
#87Manual testing of the fleur de lis design of the resection to reduce the nostril sill (inner flat branch), the nostril rim (vertical branch) and the alar flare (outer crescent branch).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 88
#88Manual testing of the fleur de lis design of the resection to reduce the nostril sill (inner flat branch), the nostril rim (vertical branch) and the alar flare (outer crescent branch).
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 89
#89Original nose (left) and the intraoperative new nasal skeleton (right); nostrils already treated.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 90
#90Original nose (left) and the intraoperative new nasal skeleton (right); nostrils already treated.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 91
#91Original nose (left) and the intraoperative new nasal skeleton (right); nostrils already treated.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 92
#92Original nose (left) and the intraoperative new nasal skeleton (right) with prismatic scheme of the dorsal replacement graft three dimensional design; nostrils already treated.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 93
#93Original nose (left) and the intraoperative new nasal skeleton (right); nostrils already treated.
African nose,Afroamerican nose,Alar flaring,Angled dorsum,Bifid columella,Bifid tip,Boxy tip,Broad dorsum,Broad nose,Bulbous tip,Dynamic alar flaring,Flat dorsum,Hanging columella,Humpless dorsum,Large nose,Large nostrils,Large sills,Low dorsum,Low radix,Poorly defined tip,Poorly supported tip,Rounded tip,Short nose,Short septum,Short upper lateral cartilages,Small alar cartilages,Sunken columella,Supratip break,Thick alar rim,Thick skin nose,Underprojected tip,Alar base resection alarplasty,Alar rim resection,Columella strut graft,Custom made tip graft,Dorsocolumella graft,Dorsum replacement graft,Extended columella strut graft,Extended shield tip columella graft,Lateral cruras custom made graft,Lateral cruras lengthening graft,Lateral cruras replacement graft,Lateral cruras repositioning,Medial cruras replacement graft,Nostril sill resection,Onlay dorsum graft,Onlay radix graft,Onlay supratip graft,Open approach incision,Rib cartilage graft harvesting,Septocolumella graft,Septum caudal extension graft,Septum replacement graft,Shield tip graft,Tip defatting,Tip replacement graft,Triangular cartilages caudal extension graft - photo 94
#94Intraoperative new nasal skeleton with graphic addition of the real dorsal replacement graft and the extended tip columella replacement graft; nostrils already treated.

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  TECHNICALITIES

  • AREAS

  • TREATMENTS

    Custom Rhinoplasty
    Ethnic Rhinoplasty
    Structure Rhinoplasty
  • DIAGNOSES APPLICABLE

    African nose
    Afroamerican nose
    Alar flaring
    Angled dorsum
    Bifid columella
    Bifid tip
    Boxy tip
    Broad dorsum
    Broad nose
    Bulbous tip
    Dynamic alar flaring
    Flat dorsum
    Hanging columella
    Humpless dorsum
    Large nose
    Large nostrils
    Large sills
    Low dorsum
    Low radix
    Poorly defined tip
    Poorly supported tip
    Rounded tip
    Short nose
    Short septum
    Short upper lateral cartilages
    Small alar cartilages
    Sunken columella
    Supratip break
    Thick alar rim
    Thick skin nose
    Underprojected tip
  • TECHNIQUES EMPLOYED

    Alar base resection alarplasty
    Alar rim resection
    Columella strut graft
    Custom made tip graft
    Dorsocolumella graft
    Dorsum replacement graft
    Extended columella strut graft
    Extended shield tip columella graft
    Lateral cruras custom made graft
    Lateral cruras lengthening graft
    Lateral cruras replacement graft
    Lateral cruras repositioning
    Medial cruras replacement graft
    Nostril sill resection
    Onlay dorsum graft
    Onlay radix graft
    Onlay supratip graft
    Open approach incision
    Rib cartilage graft harvesting
    Septocolumella graft
    Septum caudal extension graft
    Septum replacement graft
    Shield tip graft
    Tip defatting
    Tip replacement graft
    Triangular cartilages caudal extension graft

  DR. ALEJANDRO NOGUEIRA'S SIMILAR CASES PHOTO GALLERY *

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