Tip graft to columella in Black nose and ethnic rhinoplasty Tip Supporting Graft - Open Rhinoplasty Surgical Details (Black Rhinoplasty - Surgery of the Nose)

Exploring ethnic rhinoplasty, nasal surgery, sculpture of the Black nose anatomy details by Dr. Michael Bermant, MD plastic cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Rhinoplasty Surgery Septal Graft to Support Tip - warning graphic details

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Open Rhinoplasty - Pictures of dorsal and tip sculpture during surgery (warning graphic photographs)

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Rhinoplasty Surgery Septal Graft to Support Tip

Tip graft to columella to support nasal tip

This patient had poor tip support. Facial muscles during normal expression deflected the nose in an unappealing fashion. Most nasal tips have some help from the end of the septum. In this patient there was a gap between the septum and the tip cartilage. Dr. Bermant added a piece of septal graft (gray) between the cartilage to increase tip support. The tissue wall between the nostrils is called the columella.

There are many possibilities in the Black nasal tip. Surgery does not need to destroy the ethnic nature and build it to unnatural heights from the face. Basic rhinoplasty techniques can enhance positive features and minimize negative ones.

Inserting cartilage graft to the nasal tip during rhinoplasty Tip graft in columella to support the nasal tip

The cartilage graft is vertically oriented in the columella between the original tip cartilage.

 

Columella cartilage graft to support nasal tip between lower lateral cartilages

Cartilage graft after being sutured into place. You can just see the tip of the graft still projecting between the cartilage domes.

This graft was just for strengthening the tip for projection. A tip graft can also be used for many other possible functions in nasal sculpture.

rhinoplasty of the black nose
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Next black rhinoplasty and tip graft
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This page last updated on: April 21, 2012

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