How Nose Surgery is Performed – Shield Graft & Alar Rim Graft – Nose Job

www.rhinoplastyspecialist.com Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty. In this video you’ll discover how a shield graft added to the nasal tip aids in nasal tip support, strength, definition and projection. The combination of a lateral crural strut graft and alar rim graft is used to add support to the natural cartilage and soften the transition around the nose. They will also help support the nostrils and keep the nasal airway open. Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at… http Dr. Nassif’s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA. www.spaldingplasticsurgery.com OPERATIVE TECHNIQUE The shield graft was fixated to the intermediate crura and dome and a bruised onlay graft and columellar onlay graft were placed caudal to the shield graft with 5-0 PDS horizontal mattress sutures. Combined lateral crural strut grafts/rim grafts were placed on the posterior caudal surface of the lower lateral cartilage and fixated with 5-0 PDS. African American Nasal Anatomy Skin: Thick, Abundant Fibrofatty tissue Radix: Deep, Inferiorly-Set & Low Nasal Bridge & Dorsum …