RIB Plaster: a versatile, moldable derivative from scraping the periphery of the rib.

A simple technique is described for obtaining "rib plaster" by scraping the whitish peripheral portion of residual segments of rib after the perichondrium is removed and appropriate multiple laminations are derived This putty-like substance tends to conglomerate appropriately due to its high density and has unique properties: readily compacted into diced cartilage inserters, smoothly injected, easily moldable. "Rib plaster" serves well for camouflage of irregularities of the dorsum and tip as well as for mild augmentation. It comes to no further cost and in an adequate supply once a full-thickness rib segment is harvested for secondary rhinoplasty.

The "3 Points Compartmentalization" Technique in Subperichondrial-Subperiosteal Dissection in Primary Rhinoplasty to Reduce Edema and Define Contour.

Proper control of postoperative edema in rhinoplasty matters significantly, both regarding patient satisfaction and preventing loss of definition and aesthetic surface contour in the dorsum and tip. The "3 points compartmentalization" technique described in this paper aims to fulfill the above goals by (1) dissection in a subperichondrial-subperiosteal plane and (2) reducing the dead space by three strategically placed key sutures that compartmentalize the nose and redrape the single-plane dissection in an anatomically correct position.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .