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Objectives: The understanding and treatment of saddle nose have always been a surgical challenge. Saddle nose deformity is characterized by depression of the nasal bone and the cartilage dorsum associated with a collapse in the upper lateral and alar cartilages.

Introduction: Surgical treatment for functional and aesthetic recovery relies on the use of grafts. Recent advances in aesthetic reconstructive surgical techniques warrant discussion of this subject.

Materials / method: A review of different techniques currently in practice. These reflect greater emphasis on nasal structural framework repair rather than disguise and the use of autografts rather than allografts.

Results: A large number of graft materials, either biologic or alloplastic, has been described in the reconstruction of saddle nose deformity to provide a structural support to the nasal dorsum and tip. Although autogenous materials are thought to be more advantageous, there is still no consensus regarding the most suitable surgical graft material for saddle nose. Each graft material presents some advantages and disadvantages. Surgical approaches varied according to the technique adopted.

Conclusion: Septal saddle nose is an important entity that must be recognized and treated, especially when it is progressive. The proposed treatment strategy is based on detailed analysis of the clinical signs, resulting in a graduated solution adapted to each clinical case according to the severity of the deformity. Composite reconstruction offers a unique solution to saddle nose deformity, as it is a flexible method of restoring structural support and aesthetic contour.

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Objectives: Revision rhinoplasty is a challenging operation in clinical practice. Materials for revision rhinoplasty could be artificial or autologous materials. Different materials used in revision cases are compared in results and complications.

Introduction: Revision rhinoplasty is one of the most challenging operation in facial-plastic surgery field. Remove previous artificial implant and grafted cartilage, reconstruct the nasal framework, meticulously deal with scar and soft tissue, and restore nasal function are complex and important.

Materials / method: Nasal deviation, short nose, and under-projected tip are common causes for patients seeking revision rhinoplasty. We use autologous costal cartilage for grafting material to rebuild the nose. In almost all cases, the nasal septal cartilage needs to be reconstructed due to previous surgery. Spreader graft and columellar strut are most common grafts used in revision rhinoplasty.

Results: Nasal deviation, short nose, and under-projected tip are common causes for patients seeking revision rhinoplasty. We use autologous costal cartilage for grafting material to rebuild the nose. In almost all cases, the nasal septal cartilage needs to be reconstructed due to previous surgery. Spreader graft and columellar strut are most common grafts used in revision rhinoplasty. Alar strut and tip grafts area also important for reshaping the tip.

Conclusion: Revision rhinoplasty often encounters the following problems: 1. weak and destructive septal cartilage, 2. lack of elasticity of nasal skin, 3. thinning of nasal tip skin, 4. fragile nasal mucosa, 5. scar tissue due to previous surgery. The characteristic of autologous costal cartilage is abundant in amount, excellent biocompatibility, and strong hardness. It is the golden choice of cartilage graft for structural reconstruction, and the long-term results are stable and reliable

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