Laboratory Studies

Perform routine preoperative laboratory studies as indicated.

Imaging Studies

As with all facial plastic surgery, preoperative and postoperative photographic documentation is essential.

Computer modeling of projected outcome may help ground patient expectation.

A well-performed history and physical examination obviates the need for radiologic imaging studies (eg, CT, MRI) in patients who do not have other concomitant rhinologic disease (eg, sinusitis).

Diagnostic Procedures

The following procedures may be useful in selected patients with nasal obstruction:

Rhinomanometry provides objective measurement of nasal airway resistance.
Acoustic rhinomanometry allows accurate determination of the cross-sectional area of the nasal cavity.

Treatment & Management

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Media Gallery

Lateral view (a) - Characteristics of the platyrrhine multiracial nose (on the left) compared with the Caucasian nose (on the right) include reduced bony and cartilaginous dorsal support and lack of tip projection and definition. Base view (b) - The platyrrhine multiracial nose often has wide flared nasal alae, poor tip support, and a thick, subcutaneous, fibrofatty pad, resulting in blunted tip definition. The ideal equilateral triangle appearance of the nose on base view is not achieved.
Postoperative augmented platyrrhine multiracial nose, achieved by using techniques described in this article. Lateral view (a) - Dorsal augmentation with tiered cartilage and fibrofatty graft, columella strut, tiered shield tip graft, dome binding stitch, and premaxillary augmentation graft. Base view (b) - Secured columella strut, shield tip graft, premaxillary augmentation graft, and alar base reduction.
Preoperative (left) and postoperative (right) views of the African American multiracial nose. Rhinoplasty was performed as described in this article.
Preoperative (left) and postoperative (right) views of the Asian mesorrhine nose. Rhinoplasty was performed as described in this article.

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Author

Manoj T Abraham, MD, FACS Clinical Associate Professor, Division of Facial Plastic and Reconstructive Surgery, New York Medical College, New York Eye and Ear Infirmary; Private Practice, Facial Plastic, Reconstructive, and Laser Surgery, PLLC

Manoj T Abraham, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Association of Physicians of Indian Origin, American College of Surgeons, American Medical Association, American Rhinologic Society, American Society for Cell Biology, California Medical Association, International Society of Hair Restoration Surgery, Medical Society of the State of New York, New York Academy of Medicine, New York County Medical Society, Sigma Xi, The Scientific Research Honor Society, Triological Society

Disclosure: Nothing to disclose.

Coauthor(s)

Thomas Romo, III, MD, FACS Director, Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Lenox Hill Hospital; Director, Facial Plastic and Reconstructive Surgery, Manhattan Eye, Ear and Throat Hospital

Thomas Romo, III, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Rhinologic Society

Disclosure: Nothing to disclose.

Patrick E Simon, MD Facial Plastic Surgeon, Northwestern Medicine, Central DuPage Hospital

Patrick E Simon, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Dean Toriumi, MD Associate Professor, Department of Otolaryngology, University of Illinois Medical Center

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan, Ryte, Neosoma, MI10<br/>Received income in an amount equal to or greater than $250 from: , Cliexa;;Neosoma<br/> Received ownership interest from Cerescan for consulting; for: Neosoma, eMedevents, MI10.

Additional Contributors

Paul S Nassif, MD FACS, Consulting Surgeon, Facial Plastic and Reconstructive Surgery, Spalding Drive Cosmetic Surgery and Dermatology

Paul S Nassif, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, California Medical Association, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons

Disclosure: Nothing to disclose.