Reducing nostrils is an oftentimes major goal in rhinoplasty, particularly for ethnic noses but can be so for any ethnicity. There are many considerations when discussing this topic of alar-base reduction. The first is the importance of preserving the nostril shape and the nostril sill. Too often you see cut off nostrils where the shape […]

This is one of my favorite maneuvers in rhinoplasty, and I use it when I need to do so in select primary and revision rhinoplasty cases. The tongue refers to the bottom part of the septum and the groove refers to the two inner nostril cartilages. The surgical maneuver is to move the tongue between […]

Unnaturalness is the first and most important cardinal sin that must be avoided. I am very blunt, at times to a fault. If you look fake but you do not see it, I will point it out to you in a judicious and caring manner; but I think I owe it to you to mention […]