Rhinoplasty & Airway Reconstruction

Rhinoplasty continues to be one of the most rewarding aspects of my practice. Not only is it rewarding to improve one's breathing, but also to improve the appearance and shape of one's nose. For complex rhinoplasty requiring maneuvers to increase tip projection or augment the radix, I prefer the use of rib graft and temporalis fascia.

I find that one needs ample cartilage for spreader grafts, columellar strut grafts, and lateral crural strut grafts to correct the common parenthesis deformity of the lower lateral cartilages. I am very thankful to have had great training from an excellent mentor.


Brian P. Dickinson, M.D.

Aesthetic "Ethnic Rhinoplasty" & Septal Deviation.

The management of the ethnic rhinoplasty can be very challenging in the face of significant septal deviation and airway obstruction. Typically, if patients have had trauma to their nose they can damage both the nasal bones as well as the cartilage components of their nasal structures.

Often patients require a septoplasty to repair a significant deviation as well as spreader grafts to straighten and reinforce the septum. Occasionally an onlay graft of crushed cartilage can be used to define certain points of the nose to make it more aesthetically pleasing.

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