Journal CME Article: Optimizing the Use of Autografts, Allografts, and Alloplastic Materials in Rhinoplasty-Journal CME Article: Optimizing the Use of Autografts, Allografts, and Alloplastic Materials in Rhinoplasty Video 1

Journal CME Article: Optimizing the Use of Autografts, Allografts, and Alloplastic Materials in Rhinoplasty Video 1

Video Transcription

So, we are here in the operating room for a revision rhinoplasty. This patient had a previous rhinoplasty with a tongue and groove technique, which overly  rotated her tip and foreshortened her nose. What I've done here is placed bilateral spretographs, extended spretographs, okay? That's the whiter cartilage right there.  The native septum is right here. These extended spretographs extend about five millimeters over the length of the native septum.  What that's going to do is elongate the tip, derotate the tip, and fix her foreshortened nose. We are all, that after we place the extended spretographs, the lower lateral cartilage  you can let go there. The lower lateral cartilage are going to come up and over that to elongate the tip and give her a beautiful result, which I'm going to be super happy with.

Video Summary

In this revision rhinoplasty, the patient had a previous surgery causing an overly rotated and foreshortened nose. The surgeon placed bilateral extended spretographs to elongate and derotate the nasal tip, correcting the foreshortening. These extended spretographs extend about five millimeters beyond the native septum, allowing the lower lateral cartilage to be repositioned effectively. This technique aims to deliver an aesthetically pleasing result by enhancing the nose’s proportion and appearance.

Keywords

revision rhinoplasty

extended spretographs

nasal tip derotation

foreshortening correction

aesthetic enhancement