http://www.rhinoplastyspecialist.com
See 1st hand how nose surgery is performed with Rhinoplasty Specialist Dr. Paul Nassif. A world-renowned expert in revision & ethnic rhinoplasty, watch and learn as he performs a Deep Temporalis Fascia Harvest. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.
The temporal fascia covers the Temporalis muscle.
It is a strong, fibrous investment, covered, laterally, by the Auricularis anterior and superior, by the galea aponeurotica, and by part of the Orbicularis oculi.
The superficial temporal vessels and the auriculotemporal nerve cross it from below upward.
Above, it is a single layer, attached to the entire extent of the superior temporal line; but below, where it is fixed to the zygomatic arch, it consists of two layers, one of which is inserted into the lateral, and the other into the medial border of the arch.
A small quantity of fat, the orbital branch of the superficial temporal artery, and a filament from the zygomatic branch of the maxillary nerve, are contained between these two layers.
It affords attachment by its deep surface to the superficial fibers of the Temporalis.
Revision rhinoplasty is a nose operation carried out to correct or revise an unsatisfactory outcome from a previous rhinoplasty. It is also known as secondary rhinoplasty. Occasionally there can be a third or even more surgeries. An unsatisfactory outcome occurs from 5 to 20% of rhinoplasties. There are two main reasons for performing secondary rhinoplasty. The first is purely cosmetic. A patient may be unsatisfied with all or part of a previous "nose reshaping. A nasal fracture may not have been reduced enough, or too much. A prominent or bulbous nasal tip may have not been addressed appropriately, or over-aggressively. The nose may looked pinched, it may look like a parrots beak, or like a boxers nose. There are many ways in which previous nose surgery may have left a nose aesthetically unappealing to a patient. The second reason is functional. The original nasal surgery may have been carried out to help with difficulties in breathing, and the outcome may have been unsatisfactory. Alternatively, the original surgery may have been performed for cosmetic reasons, but may have disrupted a normal physiologic mechanism involving the inspiration or expiration of air, making it difficult to breathe. Secondary rhinoplasty, and especially tertiary rhinoplasty, are extremely complicated procedures. This is self-evident because it is clear that even when the patient was operated upon for the first time, even when the tissues were virginal, and untouched the desired result could not be obtained.
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http://www.sporemedical.com
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