Posts Tagged ‘Procedure’

Spreader graft placement for an Open Rhinoplasty procedure


www.spaldingplasticsurgery.com http Dr. Paul Nassif performs multiple procedures such as placement of spreader grafts, hump reduction and osteotomies during this open rhinoplasty Spreader grafts are intended to target a dysfunctional internal valve and/or narrowed or collapsed middle vault. This typically results in one of two different types of patients, as follows: The first is a patient with a congenital abnormality of this region. This is either from an inherently weak upper lateral cartilage or a congenitally crooked dorsal septal margin that deviates to one side. Spreader grafts sutured into position. Several hor¬izontal mattress sutures secure the spreader grafts and up-per lateral cartilages. A needle of adequate size (such as a PS-2) facilitates engaging all structures (upper lateral carti¬lage-to-spreader graft-to-septum-to-spreader graft-to-upper lateral cartilage) in a single pass. Note how this suture passes through the dorsal edge of the upper lateral cartilage. The spreader grafts may be secured first to the septum to stabilize them in position. Alternatively (and commonly), simply engage all structures (upper lateral cartilage-to-spreader graft-to septum-to-spreader graft-to-upper lateral cartilage) with a single mattress suture. An additional horizontal mattress suture may be necessary to secure the spreader grafts and upper lateral cartilages in position. A needle of adequate size (such as a PS-2) facilitates en gaging all structures in a single pass. Do

Dr. William Seare – Talks on Awake Anethesia a New Safer Smart Micro Lipo Procedure


Dr. William Seare of Clinique Sculpture Talks on Awake Anethesia a New Safer Smart Micro Lipo Procedure