Three-dimensional imaging technology has only recently been described in the literature as a means to plan and better understand tissue expansion. This application is a logical use of the technology as the volume changes achieved with tissue expansion are controlled and often dramatic. This article reviews some of the phenomena associated with tissue expansion that… [Read More]
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Grafting in Rhinoplasty
PHILOSOPHICAL CONSIDERATIONS Traditional practice in rhinoplasty has tended to rely on resection of the nasal osseocartilaginous framework to achieve aesthetic or functional objectives. Most successes using this approach have proved short lived because the weakened nasal scaffold remaining after reductive surgery often has inadequate strength to withstand the contractile forces of healing. The classic stigmata… [Read More]
Modification of the Mustardé Otoplasty Technique Using Temporary Contouring Sutures
Peter Hilger, M.D., Maurice M. Khosh, M.D., Gary Nishioka. M.D., D.M.D., and Wayne F. I.arrabee, M.D. Minneapolis, Minn., unit Seattle. Wash. The Mustarde technique is one of the most commonly used methods for creation of the antihelical fold in the prominent ear deformity. One part of this procedure that can be difficult to perform is… [Read More]
Osseocartilaginous Rib Graft Rhinoplasty
A Stable, Predictable Technique for Major Dorsal Reconstruction J. Jared Christophel, MD; Peter A. Hilger, MD Objective: To assess the long-term stability of osseocartilaginous dorsal onlay rib grafts used for augmentation rhinoplasty. Methods: Patients who had rib grafts used for augmentation rhinoplasty from 2000 through 2009 were assessed for graft viability, graft mobility, graft warping,… [Read More]
Surgical Solution | Nasal Valve Collapse
Steven S. Orten, MD; Peter A. Hilger, MD; Minneapolis, Minn A 49-YEAR-OLD PATIENT was seen in consultation for evaluation of chronic nasal air- way obstruction. In 1967, he underwent a septorhinoplasty with significant skeletal reduction to improve the form and function of his nose. His airway was worse postoperatively. The patient noted improvement in his… [Read More]
Hereditary Agenesis of Nasal Cartilage
Surgical Implications Burke Robinson, MD, Peter Hilger, MD In the evaluation of a patient for cosmetic surgery, an underlying congenital origin for the deformities noted, with possible expression in multiple organ systems, should always be considered. In this case, a 19 year old woman requesting rhinoplasty exhibited facial anomalies: lack of quadrangular and lower lateral… [Read More]
Reconstruction of the Mandible
ROBERT H. MAISEL, M.D., PETER A..HILGER, M.D., GEORGE L. ADAMS, M.D., Minneapolis, MN, ANTHONY M. GIORDANO, M.D., Richmond, VA. ABSTRACT Forty-five patients were evaluated for reconstruction of the mandible. Thirty-four patients has a particulate cancellous bone and marrow (PCM) crib graft placed. Thirty of 34 were successful at the primary operation producing a success rate… [Read More]
Male Face Lift in Minneapolis, MN
Anthony E. Brissett, MDa,*, Peter A. Hilger, MDb Unique characteristics Presurgical evaluation Procedures Incisions Surgical techniques Adjunctive procedures Summary References To live longer and look better, men and women maintain their health and wellness by modifying their diet, exercising, and avoiding deleterious activities such as smoking or alcohol consumption. Although these lifestyle adjustments can help… [Read More]
The Use of “Inside-Out” Lateral Osteotomies to Improve Outcome in Rhinoplasty
Patrick J. Byrne, MD; William E. Walsh, CMI; Peter A. Hilger, MDteven S. Orten, MD Objective: To evaluate the anatomic effects of the transnasal nasal “inside-out” lateral osteotomy in comparison to a continuous lateral osteotomy to widen the excessively narrow bony nasal pyramid. Design: A series of 4 fresh cadavers were used. Lateral osteotomies were… [Read More]
Modification of the Skoog Dorsal Reduction for Preservation of the Middle Nasal Vault
Jeffrey A. Hall, MD; Michael D. Peters, MD; Peter A. Hilger, MD Preservation of the middle nasal vault has increasingly become a topic of interest and concern in rhinoplasty. Modification of the nasal dorsum with traditional techniques may create unfavorable cosmetic results and adverse functional sequelae due to collapse of the middle nasal vault. Nasal… [Read More]
