Classifying deformities of the columella base in rhinoplasty.

Background: Although much has been published with regard to the columella assessed on the frontal and lateral views, a paucity of literature exists regarding the basal view of the columella. The objective of this study was to evaluate the spectrum of columella deformities and devise a working classification system based on underlying anatomy.

Methods: A retrospective study was performed of 100 consecutive patients who presented for primary rhinoplasty.

Soft-tissue fillers in rhinoplasty.

Soft-tissue fillers have been applied throughout the face; however, the literature has largely ignored the injection of fillers into the nasal anatomy. This Special Topic article reviews proper filler choice and injection technique for the nose based on the senior author's (R.J.

Anatomy of the supratrochlear nerve: implications for the surgical treatment of migraine headaches.

Background: Migraine headaches have been linked to compression, irritation, or entrapment of peripheral nerves in the head and neck at muscular, fascial, and vascular sites. The frontal region is a trigger for many patients' symptoms, and the possibility for compression of the supratrochlear nerve by the corrugator muscle has been indirectly implied. To further delineate their relationship, a fresh tissue anatomical study was designed.

The effect of the columellar strut graft on nasal tip position in primary rhinoplasty.

Background: The columellar strut cartilage graft has historically been assumed to be a technique that increases tip projection. The purpose of this study was to retrospectively analyze a series of 100 consecutive rhinoplasty cases by the senior author (R.J.

The role of the columellar strut in rhinoplasty: indications and rationale.

Unlabelled: There are a variety of techniques that can be used to enhance or improve the nasal tip. These techniques often use suture techniques and invisible grafts to achieve the desired result. The former methods have been well described throughout the literature.