Facial plast Surg 2006; 22(1): 055-060
DOI: 10.1055/s-2006-939953
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Structural Approach to Endonasal Rhinoplasty

Anil R. Shah1 , Philip J. Miller1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine, New York, New York
Further Information

Publication History

Publication Date:
29 May 2006 (online)

ABSTRACT

The marriage of endonasal rhinoplasty with structural grafting has resulted in more consistent rhinoplasty results. The nasal base can be stabilized by tongue-in-groove techniques, a columellar strut, or extended columellar strut. The middle vault can be addressed with spreader grafts or butterfly grafts. Lower lateral cartilage weakness can be supported with alar batten grafts or repositioning of the lower lateral cartilages.