Comparative Performance of the Leading Large Language Models in Answering Complex Rhinoplasty Consultation Questions.

Various large language models (LLMs) can provide human-level medical discussions, but they have not been compared regarding rhinoplasty knowledge. To compare the leading LLMs in answering complex rhinoplasty consultation questions as evaluated by plastic surgeons. Ten open-ended rhinoplasty consultation questions were presented to ChatGPT-4o, Google Gemini, Claude, and Meta-AI LLMs.

Developing the Optimal Osteotome Hand-Sharpening Method.

Rhinoplasty osteotomes can be sharpened in various ways: professional sharpening or hand sharpening using whetstones or rotary powered devices. To compare the effectiveness of sharpening osteotomes using various sharpening methods with that of professional sharpening as measured by a custom edge tester. We performed repeated serial osteotome impacts on bovine femoral cortical bone.

Improving Projection of the Nasal Tip in Primary Endonasal Rhinoplasty.

Gaining, improving, and maintaining nasal tip projection is one of the most essential elements of successful endonasal rhinoplasty. For years the hallmark of inadequate nasal tip projection following rhinoplasty has been the Polly beak deformity. Early rhinoplasty technique consisted of intracartilaginous excision of the cephalic margin of the lower lateral cartilages, cartilage and bony hump reduction, and osteotomies.

Upper Lid Thick Skin Blepharoplasty.

While many of the basic tenants of upper lid blepharoplasty remain constant regardless of skin type, the thick-skinned eyelid patient requires special consideration. The brow may be naturally lower in the thick-skinned patient. These patients are more prone to having the brow pulled downward while attempting to remove redundant skin.

Measured gain in projection with the extended columellar strut-tip graft in endonasal rhinoplasty.

Importance: The extended columellar strut-tip graft was designed to improve nasal tip projection and tip definition in patients undergoing rhinoplasty.

Objective: To determine whether the extended columellar tip graft leads to a true and measurable increase in nasal tip projection or simply gives the illusion of an increase in projection.

Design: Retrospective case review.

Preventing complications in facial plastic surgery.

Purpose Of Review: The demand for cosmetic procedures has increased dramatically over the past few years, in part fueled by the prevalence of cosmetic 'makeover shows', increased media coverage on television and easy accessibility to the Internet. This growing social acceptance of aesthetic surgery has caused an increasing number of women and men to undergo elective noninvasive and invasive procedures to enhance their appearance. As the number of patients interested in cosmetic surgery increases and the number of physicians performing these procedures increases, the risk of complications invariably also rises.

Deep plane face-lift.

The deep plane face-lift is a safe and reliable technique for treatment of the aging face. It affords improvement in the lower face and midface. The use of fibrin glue in the face-lift has improved the healing and recovery of patients.

The extended columellar strut-tip graft.

The extended columellar strut-tip graft is a structural unit used in endonasal rhinoplasty that combines the attributes of the columellar strut and the tip graft. It is used to provide projection and contour to the nasal tip. Our goal with this study was to evaluate a 15-year experience with 155 patients who underwent rhinoplasty with the extended columellar strut-tip graft.

Long-term results of lower-lid suspension blepharoplasty: a 30-year experience.

Background: Muscle suspension blepharoplasty remains a reliable method to tighten the loose skin and muscle of the lower eyelid.

Objective: To evaluate the 30-year experience of the senior author (N.J.

Blepharoplasty update.

The author's current perspective of blepharoplasty is a product of a 30-year evolution in treating the aging eyelid. A review of the literature highlighting the most recent techniques can provide the reader with state of the art thinking by many authors on the subject. Some-times, however, a single surgeon's lifetime experience with a surgical procedure also can be insightful.

The underprojecting nasal tip: an endonasal approach.

The consistent ability to gain and maintain nasal tip projection in the under projected nose is the trump card of the successful facial plastic surgeon. The underprojected nose is the nemesis that causes most of the disappointment in rhinoplasty for the patient and the surgeon. It is imperative that the surgeon recognize the many variations that constitute the underprojected nose, and this recognition must be made long before it is encountered in the operating room.

Correction of the soft tissue pollybeak using triamcinolone injection.

Objective: To describe the technique for correction of the soft tissue pollybeak deformity using intralesional injection of triamcinolone acetonide.

Methods: We discuss our philosophy, regimen, and technique for treatment of the soft tissue pollybeak using triamcinolone injection. We include results from a series of 173 patients who underwent rhinoplasty performed by one of us (N.