• Why does Dr. Toriumi prefer using costal cartilage in many patients undergoing rhinoplasty?
    My preferred cartilage grafting material is septal cartilage. In many patients, there is not enough septal cartilage to create adequate structural support or proper contour. When septal cartilage is not sufficient, alternative grafting materials are needed. I prefer to use cartilage over any other material, including implants. In fact, I do not use any type of artificial implant material, such as Gore-Tex or Silicone. Read More>>>

     
  • My nose is wide and large how can it get smaller?
    Rhinoplasty is a very unique operation in that changes in nasal shape continue to occur over the patient's lifetime. Most other operations heal over a finite period of time and then stabilize. This is not the case with rhinoplasty. Read More >>

     
  • Why does Dr. Toriumi use such a complex operation to correct the crooked nose deformity?
    The method that I use to correct more severe deviations of the cartilaginous portion of the nose involves disassembling the lower third of the nose, straightening or replacing the septum and then putting the nose back together in the midline. Unfortunately, this is a more complex operation and may require additional cartilage grafting material. In fact we will frequently use costal cartilage (rib cartilage) in more severe cases or when correcting previous operated noses that remain deviated. Read More >>

     
  • Can Dr. Toriumi work with big and wide noses?
    My experience has led me to believe that every patient's nose has a different size range that can be realistically accomplished. The size of the nose that is created at the time of surgery is based on several factors. These factors differ from patient to patient, and I have no set aesthetic size that I adhere to when operating on noses. Read More>>

     
  • Why does Dr. Toriumi only use rib cartilage for secondary rhinoplasty surgeries?
    I prefer to use rib cartilage for secondary rhinoplasty cases primarily because most of these noses are depleted of structure, and ear cartilage may not be adequate to do a satisfactory reconstruction. However, many patients' noses can be corrected using ear cartilage and whatever septal cartilage is remaining. In fact, I used primarily ear cartilage for the first 15 years of my practice with good success. Read More >>
     
  • Does Dr. Toriumi operate on patients with a cleft lip nasal deformity?
    The combination of the rib grafting and specialized ear cartilage grafting allows me tremendous control for correcting deformities associated with the cleft lip nasal deformity. I consider the nasal deformities in these patients to be similar to a severe secondary rhinoplasty deformity involving the nostrils and nasal base. I find this type of surgery very satisfying, as the patients are very grateful for their correction and understand that perfection is not possible.
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  • What is a "pitfall nose", and how does it impact your surgery?
    One of the reasons why rhinoplasty is so difficult is that the anatomy of the nose varies dramatically from patient to patient. Many patients wonder why their nose required more grafting or why their healing took longer. These differences from patient to patient are based on anatomy. Some patients have variant nasal anatomy that sets them up for problems such as collapse and deformity. I have a term I use for this group of patients who are a set-up for a poor outcome. I refer to such noses as "pitfall noses." Read More>>

     
  • Does Dr. Toriumi take out and replace the nasal septum, and, if so, under what circumstances ?
    Rarely do I remove the nasal septum and replace it. The vast majority of patients will undergo a conventional septoplasty to straighten their septal deviation. Read More >>
     
  • Can Nasal Injectable Fillers Cause Damage?
    There is a new phenomenon developing in rhinoplasty. Many patients are getting injectable filler materials injected into their noses. This is creating an entirely new set of problems for rhinoplasty patients. I am seeing many of these patients in my office with devastating problems. Read More >>