Beverly Hills Rhinoplasty, a prominent facial plastic surgeon internationally renowned for his innovative surgical techniques and revision expertise, entering the operating room and seeing directly how nasal surgery is performed. Learn about each particular procedure with specialist Dr. Paul S. Nasif & Ethnic Rhinoplasty. In this video, we’ll show you how to remove cartilage from your ear for use as a nasal transplant in rhinoplasty. This patient had previously undergone ear plasty (ear surgery), so we were able to follow the original incision behind her ear. Dr. Nashif’s clinic, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, California, to see the experience of patients who have undergone this and many other treatments during ethnic or western rhinoplasty. Surgical procedure: 3 cc of 1% lidocaine and 1: 100,000 epinephrine were infiltrated into the left auricular posterior incision (anterior incision) and ear. A 3 cm left posterior auricular incision was made and a combination of blunt and sharp incisions was raised with a submucosal cartilage flap along the cartilage. The cartilage was then excised laterally to the EAC to support the ear canal intact. The mucosal cartilage remained intact in the anterior region. Support remained intact inside the penile area. Hemostasis was controlled by bipolar ablation. Wounds were washed with antibiotic lavage and sprayed with 1 cc of ¼% markine. The wound was closed by performing a 4-0 chromic. Bolster suture (3-0 nylon) was threaded through two flaps with cotton soaked in antibiotic ointment and contoured to fit the Concal bowl. African-American nasal anatomy Skin: Thick and abundant fibrous adipose tissue Radius: Deep, set in the lower jaw, low nose and dorsal: short nose bone, wide and flat tip: bulbous, thick skin, lack of protrusion , Ptotic, abundant nasal soft tissue, wide dome, minimal definition base: wide, thick, horizontal and flared nasal foramen nose-lip junction: contracted, acute nasal lip angle upper jaw: usually crushed Hyspanic nasal anatomy of dysplasia Skin: Thick and abundant sebaceous gland Radius: Low to normal nasal bridge: Wide back: Convex (nasal hump) Tip: bulbous, thick skin, lack of protrusion, occasionally reverse normally Rotation, abundant nasal soft tissue, wide wide dome, minimal definition upper jaw: short to normal base: wide, thick, horizontal and flared nasal foramen nose lip junction: contraction and acute nasal lip angle upper jaw: within normal limits Asian nasal anatomy Skin: Heavy, thick, sebaceous root: Deep and flat nasal bridge and dorsal: Low, wide, flat tip: bulbous, thick-ski nned, Under-projected, Ptotic, Abund Fibrofatty Tissue , Broad Domes, Minimal Definition Columella: Short, Minimal Show (Retracted) Base: Wide, Thick, Oblique & Flaring Nostrils Maxilla: Usually intrusive.
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