Rhinoplasty — Nasal Equilibrium, Airway Function, Grafts, and Secondary Reconstruction

This episode reviews the core principles of primary and secondary rhinoplasty, focusing on nasal analysis, structural support, airway function, graft selection, and revision strategy.Topics include the nasal equilibrium model, patient selection, BDD screening, primary versus secondary rhinoplasty, airway-first evaluation, nasal aesthetic subunits, the two-layer concept, depressor septi dynamics, low radix, inadequate tip projection, narrow middle vault, alar cartilage malposition, internal and external nasal valves, Bernoulli collapse, and the functional role of spreader and alar contour grafts. The episode also covers open versus closed rhinoplasty, hump reduction, osteotomies, cephalic trim effects, columellar struts, tip grafts, diced cartilage fascia grafts, secondary rhinoplasty, local hyperinfiltration, ear and rib cartilage harvest, rib warping, thick-skin rhinoplasty, ethnic rhinoplasty, structural augmentation, and alar base narrowing. Part of Dr. Lara’s Plastic Surgery Compendium — a high-yield audio reference for plastic surgery trainees and surgeons.DisclaimerThis podcast is intended for educational purposes only and is designed for medical students, residents, fellows, and practicing healthcare professionals. It is not intended to provide medical advice, diagnosis, or treatment for any individual patient. The content presented reflects general surgical principles and should not be used as a substitute for formal medical training, clinical judgment, or consultation with qualified healthcare professionals. Listening to this podcast does not establish a physician–patient relationship.SEO / Topic Keywordsrhinoplasty, primary rhinoplasty, secondary rhinoplasty, revision rhinoplasty, nasal analysis, nasal equilibrium, structural rhinoplasty, preservation rhinoplasty, nasal airway, internal nasal valve, external nasal valve, spreader grafts, alar contour grafts, alar wall grafts, low radix, radix augmentation, tip projection, polybeak deformity, supratip deformity, narrow middle vault, inverted V deformity, alar cartilage malposition, depressor septi nasi, open rhinoplasty, closed rhinoplasty, osteotomies, cephalic trim, columellar strut, tip grafts, diced cartilage fascia graft, DCFG, ear cartilage graft, rib cartilage graft, rib warping, ethnic rhinoplasty, thick skin rhinoplasty, alar base narrowing