The Thrill of Teaching Through Videos

Last week, I completed the 4th and 5th videotaped surgical procedures for Volume 3 of my DVD series.  Live surgery is always an experience.  I have performed live surgery at many symposia and watched many other surgeons do the same, and it is uniquely taxing because the surgeon wants to do just as good a […]

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Why Open Rhinoplasty Keeps Getting More Complicated – Part One

Open rhinoplasty had its resurgence in the mid 1980’s to help surgeons perform techniques that they found too hard through the lining—the way it had been done for a hundred years.  The open procedure was originally simple: the same closed operation, but through an external columellar incision. The principal was this: If the surgeon can […]

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Rebuilding the Nose with Rib Grafts

With no septum available, a rib graft is the best alternative The woman I wrote about last time had a very good outcome. I opened her scarred airways and placed “composite” grafts of cartilage and skin from one of her ears into the gaps to replace the lining that previous surgeons had removed, so now […]

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Revision Rhinoplasty Nashua

I was just thinking a few weeks ago that the badly scarred-shut airways I used to see are so uncommon now, compared to 2 decades ago. Most surgeons are getting  more careful, and they have taken rhinoplasty learning very seriously.   That point was brought home by a woman whom I just scheduled for surgery. Her […]

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Inflamation of the Nasal Tip

Last week I operated on a 40 year old man referred by a very conscientious dermatologist who had been trying to explain why the patient had a draining spot on his nasal tip that never healed. The area repeatedly became inflamed, healed, and became inflamed again. Biopsies had all been normal. There are only three […]

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