Rhinoplasty Operating Room Footage - Columella Strut Placement (Nose Job)

http://www.rhinoplastyspecialist.com
Join Rhinoplasty Specialist Dr. Paul Nassif, a world-renowned expert in revision rhinoplasty, in the operating room as he performs a Columella Strut Placement. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.

The columella is the central portion of the nostril that is composed of soft tissue overlying the cartilage structures known as the medial crura.

A cartilage graft typically composed of harvested septal cartilage ensconced between the medial crura of the columella used to maintain nasal tip support necessary following rhinoplasty.

AFRICAN AMERICAN NASAL ANATOMY:
1. Skin: Thick, Abundant Fibrofatty tissue
2. Radix: Deep, Inferiorly-Set & Low
3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
5. Base: Wide, Thick, Horizontal & Flaring Nostrils
6. Nasolabial Junction: Retracted, Under-Developed Nasal Spine
7. Maxilla: Usually Retrusive & Hypoplastic

HISPANIC NASAL ANATOMY:
1. Skin: Thick, Abundant Sebaceous Glands
2. Radix: Low to Normal
3. Nasal Bridge: Wide
4. Dorsum: Convex (Nasal Hump)
5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
6. Columella: Short to Normal
7. Base: Wide, Thick, Horizontal & Flaring Nostrils
8. Maxilla: Within Normal Limits




ASIAN NASAL ANATOMY:
1. Skin: Heavy, Thick & Sebaceous
2. Radix: Deep & Flat
3. Nasal Bridge & Dorsum: Low, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
5. Columella: Short, Minimal Show (Retracted)
6. Base: Wide, Thick, Oblique & Flaring Nostrils
7. Maxilla: Usually Retrusive

DESIRED RHINOPLASTY GOALS:
1. Bridge: Moderately Thinner
2. Dorsum: Higher (Augmented)
3. Tip: Refined, Increased Projection, Increased Rotation
4. Base: Vertical-Oblique Nostrils & Triangular Nasal Base
5. Columella: Increased Columellar Show & Length
6. Maxilla: Less Retrusive
7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip Definition

Video Produced by SPORE Medical,
http://www.sporemedical.com

Category:

Education

Tags:

• Rhinoplasty
• Operating
• Room
• Footage
• Columella
• Strut
• Placement
• world-renowned
• expert
• revision
• ethnic
• los
• angeles
• nostril
• cartilage
• graft
• harvested
• septal
• nasal
• tip
• support
• Wide
• Flat
• Bulbous
• Thick-Skinned
• 90210
• hispanic
• Refined
• Increased
• Projection
• operation

[deauzie]

can you please post some rhinoplasty surgeries where you do columella sliding to decrease the length of a long nose as It hard to find on Youtube

[drpaulnassif]

I have filmed a similar procedure which will be posted in the next couple of weeks. If you subscribe to my channel you will be notified when posted.

[drpaulnassif]

In her 20's

[reminiscentmani93]

Interesting video. Before I did anything I read thoroughly at plasticsurgerymadeeasy (.) com

[BigR3DRocket]

i broke my nose when i was pretty ittle, i have a quite big bump on my nose thats visible from a side view, and when i was around 13 i broke my nose for a second time making it even worse, could this surgery make my nose pretty striaght?

[filpoppy123]

he , this was very informative thankyou

can i ask how old the pacient was?

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