eMedicine Specialties > Plastic Surgery > Nose

Rhinoplasty, Augmentation: Workup

Author: Peter A Kreymerman, MD, Clinical Fellow, Department of Surgery, Division of Plastic Surgery, Cleveland Clinic Foundation
Coauthor(s): Dean Fardo, MD, Associate Staff, Department of Plastic Surgery, Cleveland Clinic Foundation; James E Zins, MD, Chairman, Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation
Contributor Information and Disclosures

Updated: Jul 25, 2008

Workup

Laboratory Studies

  • Any patients older than 50 years must have an appropriate preoperative anesthesia workup, including ECG, chest radiography, CBC count, basic metabolic panel, coagulation studies, and any other studies deemed necessary by the anesthesiologist.

Imaging Studies

  • If any sinus disease is suspected based on findings from the initial workup, a CT scan may be of value.

Diagnostic Procedures

  • During the initial consultation for augmentation rhinoplasty, any history of recurrent sinus disease must be sought. If the patient has a history of allergic disorders or sinus disease, appropriate allergy screening may be necessary. In addition, nasal endoscopy may be necessary to evaluate for any sinus disease.

More on Rhinoplasty, Augmentation

Overview: Rhinoplasty, Augmentation
Workup: Rhinoplasty, Augmentation
Treatment: Rhinoplasty, Augmentation
Follow-up: Rhinoplasty, Augmentation
Multimedia: Rhinoplasty, Augmentation
References
[ CLOSE WINDOW ]

References

  1. Canady JW. Evaluation of nasal obstruction in rhinoplasty. Plast Reconstr Surg. Sep 1994;94(3):555-9. [Medline].

  2. Bottini DJ, Gentile P, Donfrancesco A, Fiumara L, Cervelli V. Augmentation Rhinoplasty with Autologous Grafts. Aesthetic Plast Surg. Oct 26 2007;[Medline].

  3. Stuzin JM, Kawamoto HK. Saddle nasal deformity. Clin Plast Surg. Jan 1988;15(1):83-93. [Medline].

  4. Powell NB, Riley RW. Facial contouring with outer-table calvarial bone. A 4-year experience. Arch Otolaryngol Head Neck Surg. Dec 1989;115(12):1454-8. [Medline].

  5. Godin MS, Waldman SR, Johnson CM Jr. Nasal augmentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg. Apr-Jun 1999;1(2):118-21; discussion 122. [Medline].

  6. Taylor CO, Owsley TG. Gore-Tex nasal augmentation. Plast Reconstr Surg. Jan 1996;97(1):252. [Medline].

  7. Rohrich RJ, Muzaffar AR. The Turkish Delight: A Pliable Graft for Rhinoplasty. Plast Reconstr Surg. May 2000;105(6):2242-2243. [Medline].

  8. Tosun Z, Karabekmez FE, Keskin M, Duymaz A, Savaci N. Allogenous Cartilage Graft Versus Autogenous Cartilage Graft in Augmentation Rhinoplasty: A Decade of Clinical Experience. Aesthetic Plast Surg. Oct 30 2007;[Medline].

  9. Ortiz Monasterio F, Michelena J. The use of augmentation rhinoplasty techniques for the correction of the non-caucasian nose. Clin Plast Surg. Jan 1988;15(1):57-72. [Medline].

  10. Endo T, Nakayama Y, Ito Y. Augmentation rhinoplasty: observations on 1200 cases. Plast Reconstr Surg. Jan 1991;87(1):54-9. [Medline].

  11. Sheen JH. Tip graft: a 20-year retrospective. Plast Reconstr Surg. Jan 1993;91(1):48-63. [Medline].

  12. Han SK, Shin SH, Kang HJ, Kim WK. Augmentation rhinoplasty using injectable tissue-engineered soft tissue: a pilot study. Ann Plast Surg. Mar 2006;56(3):251-5. [Medline].

  13. Adams WP Jr, Rohrich RJ, Gunter JP, et al. The rate of warping in irradiated and nonirradiated homograft rib cartilage: a controlled comparison and clinical implications. Plast Reconstr Surg. Jan 1999;103(1):265-70. [Medline].

  14. Constantian MB. Distant effects of dorsal and tip grafting in rhinoplasty. Plast Reconstr Surg. Sep 1992;90(3):405-18; discussion 419-20. [Medline].

  15. Eisenberg I. A history of rhinoplasty. S Afr Med J. Aug 21 1982;62(9):286-92. [Medline].

  16. Gilmore J. Use of Vicryl mesh in prevention of postrhinoplasty dorsal irregularities. Ann Plast Surg. Feb 1989;22(2):105-7. [Medline].

  17. Gryskiewicz JM, Rohrich RJ, Reagan BJ. The use of alloderm for the correction of nasal contour deformities. Plast Reconstr Surg. Feb 2001;107(2):561-70; discussion 571. [Medline].

  18. Guerrerosantos J. Augmentation rhinoplasty with dermal graft. Plast Reconstr Surg. Mar 2004;113(3):1080-1. [Medline].

  19. Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg. Apr 1997;99(4):943-52; discussion 953-5. [Medline].

  20. Hamra ST. Crushed cartilage grafts over alar dome reduction in open rhinoplasty. Plast Reconstr Surg. Feb 2000;105(2):792-5. [Medline].

  21. Peck GC Jr, Michelson L, Segal J, Peck GC Sr. An 18-year experience with the umbrella graft in rhinoplasty. Plast Reconstr Surg. Nov 1998;102(6):2158-65; discussion 2166-8. [Medline].

  22. Rogers BO. Early historic development of corrective rhinoplasty. In: Millard DR, ed. Symposium on Corrective Rhinoplasty. St. Louis, Mo: CV Mosby; 1976.

  23. Safian J. Corrective Rhinoplasty Surgery. New York, NY: Paul B. Hoeber, Inc; 1935.

  24. Sheen JH. The ideal dorsal graft: a continuing quest. Plast Reconstr Surg. Dec 1998;102(7):2490-3. [Medline].

  25. Stucker FJ, Hoasjoe DK. Nasal reconstruction with conchal cartilage. Correcting valve and lateral nasal collapse. Arch Otolaryngol Head Neck Surg. Jun 1994;120(6):653-8. [Medline].

  26. Stupak HD, Moulthrop TH, Wheatley P, Tauman AV, Johnson CM Jr. Calcium hydroxylapatite gel (Radiesse) injection for the correction of postrhinoplasty contour deficiencies and asymmetries. Arch Facial Plast Surg. Mar-Apr 2007;9(2):130-6. [Medline].

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

rhinoplasty, nasal augmentation, nose augmentation, nasal surgery, nose surgery, nose job, nasal plastic surgery, nasal deformity, revision rhinoplasty, nasal revision, secondary rhinoplasty, primary rhinoplasty

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Peter A Kreymerman, MD, Clinical Fellow, Department of Surgery, Division of Plastic Surgery, Cleveland Clinic Foundation
Disclosure: Nothing to disclose.

Coauthor(s)

Dean Fardo, MD, Associate Staff, Department of Plastic Surgery, Cleveland Clinic Foundation
Dean Fardo, MD is a member of the following medical societies: Alpha Omega Alpha
Disclosure: Nothing to disclose.

James E Zins, MD, Chairman, Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation
James E Zins, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American Medical Association, American Society of Maxillofacial Surgeons, Ohio State Medical Association, and Sigma Xi
Disclosure: Nothing to disclose.

Medical Editor

Frederick J Menick, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Private Practice in Tucson, Arizona
Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons
Disclosure: none None None

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

George Peck, Jr, MD, Consulting Staff, Department of Plastic Surgery, St Barnabas Hospital of New Jersey
George Peck, Jr, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS, Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center
Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.