GraftsRhinoplastySeptumColumellaGreater alar cartDeformityNostrilsSpreaderPieces of cartilageComposed of hyaline cartilageBoneLesser alarNostrilMinor alarResectionSoft tissueCrusCricoid cartilagePatient's own cartilageAsymmetricalSeptal nasalQuadrangular cartilageLateral cartilagesCollapseSurgicalDensely packedNose tipCostalExcisionProcedureIncisionArytenoid cartilagesIncisionsShape of the noseDividesMaxillaSidesBonesLowerAnatomicalUpperValveDorsumTissuesNasal bridgeStructure
Grafts11
- Correction of a pinched nose by revision rhinoplasty requires reinforcing the alar cartilage support structure of the nasal tip by adding nasal cartilage grafts, harvested either from the septum or the ear cartilage. (beautifulself.com)
- Alar spreader cartilage grafts and/or septal spreader grafts are used to fix a pinched nose. (beautifulself.com)
- The septum can also be used as an area for cartilage harvest which can then be used as grafts either to support your nasal structure, to help your airway, or also to help smooth any irregular contours aesthetically. (birminghamrhinoplasty.com)
- She is now 4 months post-op from revision rhinoplasty with tip refinement, tip elevation, and placement of a columellar strut graft, alar contour grafts, and spreader grafts using MTF cartilage to add tip support, tip refinement, and improve her breathing. (lipsg.com)
- From 2013 to 2017, 253 patients with contracted nose underwent combined procedures: dual plane dissection, extended spreader graft & caudal septal extension graft, total septal reconstruction by autogenous rib cartilage, tip repositioning and tip grafts, and dorsal augmentation. (jcosmetmed.org)
- During the revision rhinoplasties that I perform, I use a great deal of spreader grafts, alar grafts, and columella cartilage grafts to stabilize the nose to prevent future collapse. (renudc.com)
- She underwent a complex revision rhinoplasty with grafts from her own rib cartilage. (drweinfeld.com)
- In case of a concave upper lateral cartilage or an inverted V. deformity, spreader grafts are positioned under the affected area. (portlandfacial.com)
- Additional more complex adjustments of the alar (lower lateral) cartilage are sometimes made with sutures or grafts. (herringplastic.com)
- Two common areas from which cartilage grafts are obtained are the ear and the nasal septum. (herringplastic.com)
- In 70% of the patients, was performed a previous expansion of the mid-forehead flap and in 90% were used cartilage grafts and/or bones. (rbcp.org.br)
Rhinoplasty15
- Most modern techniques had already been described by the 1920s-1940s, albeit with less refinement (eg, open rhinoplasty incisions were placed along the alar rim, leaving a conspicuous scar). (medscape.com)
- A Septorhinoplasty is where surgery on the septum (the mid-line cartilage partition between the 2 nasal passageways) is combined with Rhinoplasty at the same time. (birminghamrhinoplasty.com)
- Rhinoplasty achieves these alterations by reshaping the bone, cartilage and other soft tissues in the nose. (hda-online.org.uk)
- Rhinoplasty manipulates bone, cartilage, and soft tissue in a procedure that is carefully customized to meet the patient's needs, so no two rhinoplasties are the same . (plasticsurgeryofshorthills.com)
- If there was simply too much normal cartilage removed from the nose during the prior rhinoplasty then the nose can easily collapse. (renudc.com)
- If a normal amount of cartilage was removed during the original rhinoplasty but, the surgeon who performed the original rhinoplasty and the one that performed the revision rhinoplasty did not stabilize the cartilage into its normal anatomical position then the cartilage may shift or collapse. (renudc.com)
- Irregularities over the bridge line, comprising of either cartilage or bone, are frequent post-primary rhinoplasty anomalies. (portlandfacial.com)
- Cartilage grafting procedures are also available to address asymmetrical tip cartilages following a rhinoplasty. (portlandfacial.com)
- If there are persistent large nostrils even after a primary rhinoplasty, an alar-plasty is performed. (portlandfacial.com)
- If the goal of a rhinoplasty procedure is to change the shape of the nasal tip, then the natural alar cartilage is (usually) altered. (herringplastic.com)
- There are many surgical maneuvers that are routinely performed during rhinoplasty and one of the basic maneuvers is alteration (removal) of the top half of the alar (lower lateral) cartilage. (herringplastic.com)
- It is very important that enough alar cartilage is left in place during the rhinoplasty to adequately support the nasal tip. (herringplastic.com)
- Germany Medical Cottle Alar Retractor is a useful tool in rhinoplasty and other plastic surgery procedures. (germanymedical.fr)
- Nostril or alar base reduction is a type of rhinoplasty or cosmetic nose reshaping. (dallasfacialplasticsurgerycenter.com)
- He specializes in all types of rhinoplasty procedures, including reducing the alar base. (dallasfacialplasticsurgerycenter.com)
Septum16
- Cartilage of the septum - also known as the quadrangular cartilage because it is roughly quadrilateral in shape - separates the nostrils. (healthline.com)
- Vomeronasal cartilage, also known as Jacobson's cartilage, connects the nasal septum (the wall of cartilage that separates the two airways of the nose) and the vomer bone (a thin, flat bone that separates the nostrils). (healthline.com)
- A spreader graft is a pair of straight pieces of cartilage which are sutured on each side of the nasal septum to reinforce and to keep straight the nasal septum and the nasal bridge. (beautifulself.com)
- If you are looking to modify your profile then your surgeon can reduce the height of your nasal bridge by shaving the septum and upper cartilage. (hda-online.org.uk)
- If you are unhappy with the length of your nose then your surgeon will resect the terminal part of the septum and correct the upper lateral cartilage. (hda-online.org.uk)
- For reducing the rounded appearance of your nose your surgeon can cut a portion of the alar cartilage and, if needed, the septum can be trimmed to produce a shorter nose. (hda-online.org.uk)
- The paired internal valves consist of the caudal end of the upper lateral cartilage, the nasal septum, and the soft tissue surrounding the piriform aperture. (jalanetipot.com)
- Where the bony septum of the nose is deficient, below and in front, the gap is filled by the septal cartilage. (co.ma)
- Autologous cartilage may be implanted into the nasal bridge so as to support the nose tip or the nasal septum may be extended. (thammyhanquoc.vn)
- The anterior margin is thicker than the posterior margin and extends above with the cartilage of the septum but detached from it at the bottom by a narrow fissure. (zwivel.com)
- There are many challenges associated with the correction of contracted nose, for example: tight skin due to scar-capsule adhesion, scar tissues around the cartilage framework, techniques to lengthen the nasal tip (most post-surgical contracted nose has both structural problems such as weak upper and lower lateral cartilage, septum cartilage, leading to the difficulty in adding septal extension graft to caudal septum). (jcosmetmed.org)
- The following criteria were evaluated to determine the degree of nasal contracture: prior operative history, skin mobility, capsule contracture, framework, nasal septum, degree of cephalic rotation of the nasal tip, alar & columella positions, and the amount of available cartilage graft used. (jcosmetmed.org)
- Your nasal structure comprises two nasal bones, two upper lateral cartilages, two lower lateral cartilages, the nasal septum, and the skin soft tissue envelope. (portlandfacial.com)
- The internal nasal valve is where the upper lateral cartilage meets the septum. (richardzoumalan.com)
- An endonasal view shows the upper lateral cartilage being pulled in toward the septum, decreasing the angle between the upper lateral cartilage and the septum. (richardzoumalan.com)
- The septum is the bone and cartilage that divides the nasal cavity into two nostrils. (metropolmed.com)
Columella3
- The paired external valves consist of the lower lateral cartilage, the columella, and the nasal floor. (jalanetipot.com)
- The graft covers part of the columella and the medial aspect of the alar (lower lateral) cartilage. (herringplastic.com)
- In white patients, this angle is normally 10° to 15°.5 The external nasal valve is composed of the alar lobule laterally, the nasal sill inferiorly, and the columella medially. (richardzoumalan.com)
Greater alar cart3
- Greater alar cartilage is a flexible cartilage that forms part of the structure of the nostrils. (healthline.com)
- The inferior margin and the frontal process of the maxilla are connected to the greater alar cartilage by fibrous tissues. (zwivel.com)
- The major alar cartilage (greater alar cartilage, lower lateral cartilage) is a thin, flexible plate located immediately below the lateral nasal cartilage. (zwivel.com)
Deformity3
- The alar is pulled up cephalically, and the nasal tip is lifted in the forehead direction resulting in the contracture and deformity of the nostrils. (jcosmetmed.org)
- Deformity due to the contracture of alar cartilage. (jcosmetmed.org)
- Alar cartilage cephalic malposition was first described as a parenthesis-shaped deformity by Sheen. (rbcp.org.br)
Nostrils3
- The large alars are removed in a wedge-shape pattern to narrow the nostrils. (idhospital.com)
- Intranasally, bulky tip of the nose was reduced by removing the caudal portion of nasal septal cartilage and asymmetrical nostrils were corrected by removing the footplate of medial crus on the left side. (smbalaji.com)
- Flaring nostrils or a wide nose (alar) base can be visually overpowering and detract from the other facial features. (dallasfacialplasticsurgerycenter.com)
Spreader1
- The length of the nose could be extended by dual plane dissection to release adhesion of skin and scar tissue, extended spreader grafting, dorsal augmentation, and tip and alar grafting. (jcosmetmed.org)
Pieces of cartilage1
- These two pieces of cartilage meet in the very center of our nose, where their curved areas called crura form the tip of our nose, and allow it to project outwards. (plasticsurgeryofshorthills.com)
Composed of hyaline cartilage3
- They are primarily composed of hyaline cartilage, which is densely packed with collagen, a structural protein. (healthline.com)
- It is composed of hyaline cartilage that provides shape and flexibility within a specific structure. (zwivel.com)
- It is composed of hyaline cartilage that is thin and folded and forms the lateral and medial crus. (zwivel.com)
Bone10
- Lateral nasal cartilage is a triangular structure, located below the nasal bone. (healthline.com)
- Unites with temporal bone to form zygomatic arch Nasal bones and cartilages 1. (slideshare.net)
- The quadrangular cartilage articulates directly with the bone posteriorly and inferiorly. (jalanetipot.com)
- Direct cartilage-bone articulation is rare without intervening ligaments and it is this unique construction that allows more lateral mobility. (jalanetipot.com)
- This could mean changing the cartilage and bone or reshaping the skin around your nose, sometimes a skin graft or implant will be used. (cosmeticsurgerysolicitors.co.uk)
- The bone and cartilage give the nose most of its size and shape. (zwivel.com)
- To be precise, the bone supports the nose bridge, the upper cartilage supports the side of the nose, and the lower cartilage adds support, width, and height. (zwivel.com)
- The septal nasal cartilage (lateral cartilage, upper lateral cartilage) is a flat and triangular-shaped hyaline cartilage located below the inferior margin of the nasal bone. (zwivel.com)
- The superior margin of the cartilage is connected to the nasal bone. (zwivel.com)
- The lateral cartilage (upper lateral cartilage, lateral process of septal nasal cartilage) is located inferior to the nasal bone. (zwivel.com)
Lesser alar3
- it is oval and flattened, narrow behind, where it is connected with the frontal process of the maxilla by a tough fibrous membrane, in which are found three or four small nasal cartilages the minor alar cartilages, also referred to as lesser alar or sesamoid cartilages or accessory cartilages. (wikipedia.org)
- Lesser alar cartilages are three or four small nasal cartilages connected to the upper jawbone. (healthline.com)
- The minor alar cartilage (lesser alar cartilage, sesamoid, or accessory cartilage) are a few small pieces of hyaline cartilage on both sides of the nose located between the lateral nasal cartilage and the major alar cartilage. (zwivel.com)
Nostril5
- Accessory nasal cartilages are small nasal cartilages that link the greater alar (nostril) and lateral nasal cartilages. (healthline.com)
- Nose alar which forms brim of nostril is wide and looks opened. (idhospital.com)
- To reduce the nostril size and width of the lower nose, a small incision is made in the crease along the nostril between the nose and cheek - the alar base. (dallasfacialplasticsurgerycenter.com)
- A small sliver of cartilage is removed, and the nostril is reshaped to the ideal proportions. (dallasfacialplasticsurgerycenter.com)
- To learn more about alar base and nostril reduction surgery, contact us at Dallas Facial Plastic Surgery Center . (dallasfacialplasticsurgerycenter.com)
Minor alar1
- The minor alar cartilages consist of 3 or 4 parts on each side. (zwivel.com)
Resection2
- Alar cartilage resection. (medscape.com)
- Open approach revealed total resection of the alar cartilages. (aerosail.com)
Soft tissue2
- Nose Tip Surgery , A Bulbous Tip is caused when the skin of the nasal tip is too thick or has excess soft tissue and/or the septal cartilage is too thick or big. (thammyhanquoc.vn)
- The tapered contoured lip is an excellent feature in exposing delicate soft tissue and alar cartilage. (germanymedical.fr)
Crus2
- The medial crus (the inner portion of the major alar cartilage) is located vertically to the septal nasal cartilage. (zwivel.com)
- The lateral crus (the outer portion of the major alar cartilage) links with the nose's ala. (zwivel.com)
Cricoid cartilage2
- The final stage of a laryngeal "bedsore" is reached when there is necrosis of the cricoarytenoid joint and the cricoid cartilage. (entokey.com)
- In all four species, the cartilaginous framework of the larynx consists of thyroid cartilage, epiglottis, a pair of arytenoid cartilages, and cricoid cartilage. (nau.edu)
Patient's own cartilage1
- JW Hospital's Nose Tip Surgery is a detailed surgery that uses the patient's own cartilage and tissue to create a sharp and natural nose tip after a long period of time. (thammyhanquoc.vn)
Asymmetrical2
- If the alar (lower lateral) cartilage is asymmetrical, this is also adjusted at this time. (herringplastic.com)
- Asymmetrical alar shape was corrected by adjusting the shape of it using harvested rib cartilage. (smbalaji.com)
Septal nasal5
- This procedure will correct the shape of a nose tip using septal nasal cartilage, rib cartilage, or costal cartilage. (thammyhanquoc.vn)
- We perform safe tip plasty using ear cartilage, septal nasal cartilage, or costal cartilage, instead of implants. (thammyhanquoc.vn)
- The septal nasal cartilage divides the right and left nasal cavities, letting air pass through them. (zwivel.com)
- The septal nasal cartilage being the midline structure of the organ, also provides the orientation of the nose. (zwivel.com)
- The vomeronasal cartilage (Jacobson's cartilage) is a narrow strip of hyaline cartilage between the septal nasal cartilage and the vomer. (zwivel.com)
Quadrangular cartilage1
- The nasal septal valve is composed of the perpendicular plate of the ethmoids posteriorly, the quadrangular cartilage anteriorly, and the vomer inferiorly. (jalanetipot.com)
Lateral cartilages6
- It also connects the nasal bones and the lateral cartilages. (healthline.com)
- The upper lateral cartilages form the upper right and left sides of our nose, and have a small layer of overlap with the nasal bones, which forms the dorsum, or bridge of the nose. (plasticsurgeryofshorthills.com)
- Reduction techniques applied to the lower lateral cartilages near the nose tip effectively reduce the width of the tip for those struggling with a bulbous nasal tip. (portlandfacial.com)
- The surgical alterations of the alar (lower lateral) cartilages should take into consideration the patient's facial shape, gender, and ethnicity in order to achieve the best "match. (herringplastic.com)
- Similar surgical alterations of the alar (lower lateral) cartilages can also help in part to correct the "over projecting nasal tip. (herringplastic.com)
- The amorphous (shapeless) nasal tip is treated with a combination of altering the alar (lower lateral) cartilages and a "tip graft. (herringplastic.com)
Collapse3
- This helps restore the architecture of the alar rim and mitigate alar rim collapse during inhalation. (portlandfacial.com)
- With this type of weakness, one will see the ala and supra-alar crease collapse on deep nasal inspiration. (richardzoumalan.com)
- Fifty seven percent of the patients (57%) had a "boxy tip" and an initial alar pinching, 61% showed alar retraction and 8%, external valve collapse. (rbcp.org.br)
Surgical2
- To comprehensively address the issue, the following surgical techniques were chosen: releasing capsular contracture by dual plane dissection when undermining the skin, and elongating the framework by septal extension graft or autogenous rib cartilage graft. (jcosmetmed.org)
- There are a number of surgical maneuvers described to correct this problem, and one is the alar cartilage transection. (herringplastic.com)
Densely packed1
- They are composed of a flexible material called hyaline cartilage, densely packed with a structural protein called collagen in the distal portion of the nose. (zwivel.com)
Nose tip7
- We can raise the height of a nose tip by re positioning of your own alar cartilage. (thammyhanquoc.vn)
- In order to prevent the alar cartilage from being seen, we create a natural-looking nose tip by implanting autologous dermis or artificial dermis into a nose tip. (thammyhanquoc.vn)
- Cartilage in the nose tip is wide and big. (idhospital.com)
- Gathering cartilage in the nose tip / If cartilage is widen, gather it. (idhospital.com)
- Men struggling with significant broadening of the nose tip due to thick skin and substantial scar tissue can benefit from an alar rim graft. (portlandfacial.com)
- In addition, the nose tip can be either lifted or dropped based on the removal sites of skin and cartilage. (portlandfacial.com)
- The lower lateral nasal cartilage was removed from both sides to reshape the bulky nose-tip. (smbalaji.com)
Costal1
- If using of autologous cannot be performed, donated costal cartilage or artificial dermis will be used, instead of hard foreign materials. (thammyhanquoc.vn)
Excision2
- Figure 8: Moist cotton applicator as backstop for alar cartilage excision. (vetscalpel.com)
- During procedure, caudal portion of lower lateral nasal septal cartilage was removed also width of the alar base was corrected by Weir excision. (smbalaji.com)
Procedure1
- During procedure, caudal portion of lower lateral nasal septal cartilage was removed. (smbalaji.com)
Incision1
- The red dashed line in the diagram approximates the incision in the alar cartilage (light blue) and the cartilage above the line is removed. (herringplastic.com)
Arytenoid cartilages2
- If such a patient is not adequately sedated, the vocal process of the arytenoid cartilages is traumatized during their adductive movements, causing mucosal abrasion. (entokey.com)
- a Maximum pressure is exerted on the medial aspect of the arytenoid cartilages (arrows). (entokey.com)
Incisions1
- The tip (alar) cartilages were trimmed through internal incisions under local anesthesia. (my-plastic-surgeon.com)
Shape of the nose2
- ABSTRACT: Alar cartilage anatomically determines the size, position, and shape of the nose type. (afsu.edu.tr)
- The largest cartilages are the lateral and major alar and majorly contribute to the shape of the nose . (zwivel.com)
Divides1
- The septal cartilage bisects the right and left sides of our nose, running down its center, and divides the nasal cavities. (plasticsurgeryofshorthills.com)
Maxilla1
- Anterior nasal cartilages are palpable Maxilla 1. (slideshare.net)
Sides2
- Both sides of the major alar cartilages meet to form a notch at the tip (apex of the nose). (zwivel.com)
- The alar cartilages are divided on both sides, which facilitates narrowing of the nasal tip. (herringplastic.com)
Bones1
- Bones cartilage joints, Face, Nose. (stanford.edu)
Lower5
- The alar (lower lateral) cartilage is one of the structures that supports and gives the nasal tip shape. (herringplastic.com)
- The alar (lower lateral) cartilage is light blue in the diagram below. (herringplastic.com)
- The complex anatomy of the alar (lower lateral) cartilage is so widely varied that many different approaches are needed and used to correct the aesthetic problems of the nasal tip. (herringplastic.com)
- The cartilage graft mimics the ideal alar (lower lateral) cartilage shape when the desired shape cannot be achieved by altering the natural cartilage alone. (herringplastic.com)
- Lower nasal thirds of the alar cartilage was next excised and removed. (smbalaji.com)
Anatomical1
- The nasal cartilages are anatomical structures within the nose that provide shape and support to the nasal cavity. (zwivel.com)
Upper2
- Nasal cartilage trimming / if nasal cartilage is large, upper part will be incised. (idhospital.com)
- Posterolateral deep ulceration in the v-shaped upper portion of the cricoid with exposure of the cartilage. (entokey.com)
Valve2
- The medial and lateral walls inside the nares allow the major alar cartilages to hold open each naris, resulting in maximal airflow to reach the nasal valve for optimal respiration. (zwivel.com)
- 6 The alar batten graft may be the most commonly used grafting technique to help improve valve strength. (richardzoumalan.com)
Dorsum1
- In Slavic noses, the dorsum is wider and the nasal tip is bulkier with strong, well-structured alar cartilages. (femininebeauty.info)
Tissues3
- When the lateral nasal cartilage contacts the major alar cartilage, it curls up, forming a close connection through fibrous tissues. (zwivel.com)
- It is connected superiorly to the lateral nasal cartilage through fibrous tissues. (zwivel.com)
- It can be the result of damaged nasal structure due to previous surgeries or infection, excessive scar tissues inside the nasal skin, or limited type of extractable graft cartilage being used up from previous operations. (jcosmetmed.org)
Nasal bridge1
- Cartilage graft has been harvested and sculpted for the correction of depressed nasal bridge. (smbalaji.com)
Structure4
- The nasal cartilages provide structure and support to the nose. (healthline.com)
- This is especially true for cartilage, the main supporting structure of the nose. (egms.de)
- The structure of alar cartilage differs from person to person. (afsu.edu.tr)
- The cartilage lies below and provides strength and structure. (zwivel.com)