Augmentation Rhinoplasty in Plastic Surgery Workup

  • Author: Luis Humberto Macias, MD; Chief Editor: John R Taylor, MD, FRCSC, FACS   more...
 
Updated: Aug 2, 2010
 

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.
Next

Imaging Studies

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

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.
Previous
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Luis Humberto Macias, MD  Resident Physician, Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona

Disclosure: Nothing to disclose.

Coauthor(s)

Peter A Kreymerman, MD  Clinical Instructor, Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona

Disclosure: Nothing to disclose.

Heather Lucas, MPAS, PA-C  Department of Surgery, Division of Plastic Surgery, Mayo Clinic Arizona

Disclosure: Nothing to disclose.

Dean Fardo, MD  Private Practice, Atlanta

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.

Specialty Editor Board

Frederick J Menick, MD  Chief, Division of Plastic Surgery, St. Joseph's Hospital; Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, 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 Maxillofacial Surgeons, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons

Disclosure: none None None

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

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.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

John R Taylor, MD, FRCSC, FACS  Independent Practice, Ontario

John R Taylor, MD, FRCSC, FACS is a member of the following medical societies: American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, and Canadian Society of Plastic Surgeons

Disclosure: Nothing to disclose.

References

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

  2. Jones ME, Westreich RW, Lawson W. Augmentation of nasal tip projection using the inferior turbinate: review of technique and evaluation of long-term success. Arch Facial Plast Surg. Jan-Feb 2008;10(1):34-7. [Medline].

  3. Karaaltin MV, Orhan KS, Demirel T. Fascia lata graft for nasal dorsal contouring in rhinoplasty. J Plast Reconstr Aesthet Surg. Oct 2009;62(10):1255-60. [Medline].

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

  5. Gentile P, Cervelli V. Nasal dorsum reconstruction with 11th rib cartilage and auricular cartilage grafts. Ann Plast Surg. Jan 2009;62(1):63-6. [Medline].

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

  7. 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].

  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. Kridel RW, Ashoori F, Liu ES, Hart CG. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg. Nov-Dec 2009;11(6):378-94. [Medline].

  10. 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].

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

  12. Conrad K, Torgerson CS, Gillman GS. Applications of Gore-Tex implants in rhinoplasty reexamined after 17 years. Arch Facial Plast Surg. Jul-Aug 2008;10(4):224-31. [Medline].

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

  14. Hopkins C, Walker R, Lee S, Roberts D. Permacol in augmentation rhinoplasty: how we do it. Clin Otolaryngol. Feb 2009;34(1):68-75. [Medline].

  15. 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].

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

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

  18. 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].

  19. 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].

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

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

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

  23. 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].

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

  25. 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].

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

  27. 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].

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

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

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

  31. 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].

  32. 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].

 
Previous
Next
 
Young boy with bilateral cleft lip and palate who also has midface hypoplasia and requires nasal augmentation.
Young boy (same patient as in previous image) with bilateral cleft lip and palate who also had midface hypoplasia and required nasal augmentation, shown after dorsal nasal augmentation was accomplished using autologous rib grafts. It was fashioned slightly larger than needed to account for the patient's future facial growth.
Woman with a subtype of midline granulomatous disease that caused nasal collapse. Augmentation was required.
Woman (same patient as in previous image) with a subtype of midline granulomatous disease that caused nasal collapse, shown after augmentation with both autologous rib and cartilage grafts. AlloDerm was also used for additional augmentation.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
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.