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Open vs Closed Rhinoplasty

An “open” rhinoplasty involves making a small, non-linear incision in the columella of the nose- the part of the nose between the nostrils. An endonasal or “closed” rhinoplasty is all performed using incisions inside the nose. There is a significant learning curve to any rhinoplasty, but the closed approach is more difficult to learn. The …

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How to Make Optimal Aesthetic Decisions

Aesthetic Decisions In the world of aesthetic medicine and surgery there are many options and often contradictory recommendations concerning technologies for facial rejuvenation.  How do we help our patients make optimal decisions in this environment?  We just return to basics-  make a precise anatomical diagnosis and recommend the minimal targeted intervention to address the problem. …

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