Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Perioral Rejuvenation: Lip Lifts, Corner of Mouth Lifts, and Vermillion Advancements.

Facial plastic surgery : FPS·2024

Same author

The Evolution of My Extended SMAS-Biplanar Deep Plane Facelift to a Composite Tissue Deep Plane Face and Neck Lift: Similarities and Differences.

Facial plastic surgery : FPS·2024

Same author

The Deep Plane Face and Neck Lift.

Facial plastic surgery : FPS·2024

Same author

Commentary on: Immediate Nasal Reconstruction in Management of Infected Nasal Alloplast and Allografts: A Case Series.

Aesthetic plastic surgery·2023

Same author

Invited Discussion on: The Combined Use of Spreader Flap and Asymmetric Spreader Graft in Crooked Nose.

Aesthetic plastic surgery·2022

Same author

The Extended Superficial Musculoaponeurotic System Deep Plane Facelift.

Facial plastic surgery : FPS·2022

Same journal

A Randomized, Double-blind, Placebo-controlled, Dose Ranging, Parallel, Multi-Centre, Phase II Study to Evaluate the Efficacy and Safety of MT921 in Subjects with Moderate to Severe Submental Fat.

Aesthetic surgery journal·2026

Same journal

Treatment Satisfaction, Improvements in Jawline Definition, and Psychosocial Impact With OnabotulinumtoxinA for Platysma Prominence: Patient-Reported Outcomes From 2 Multicenter, Randomized, Placebo-Controlled Phase 3 Studies.

Aesthetic surgery journal·2026

Same journal

Recombinant Humanized Type III Collagen Enhances Fat Graft Retention by Promoting Angiogenesis and Adipocyte Viability in a Nude Mouse Model.

Aesthetic surgery journal·2026

Same journal

Beyond the Fixed Grid: Precision-guided Botulinum Toxin Treatment for Primary Axillary Hyperhidrosis.

Aesthetic surgery journal·2026

Same journal

Buccal Fat Suspension: Not Just a Lift-Restoring the Foundational Anatomy of a Youthful Cheek.

Aesthetic surgery journal·2026

Same journal

Adverse Outcomes and Complications of Autologous Versus Homologous Costal Cartilage Grafts in Septorhinoplasty: A Systematic Review and Meta-analysis.

Aesthetic surgery journal·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jun 2, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Dorsal reduction and spreader flaps.

Ronald P Gruber¹, Edward T Melkun, Joseph F Woodward

¹Division of Plastic and Reconstructive Surgery, University of California, San Francisco, California. rgrubermd@hotmail.com

Aesthetic Surgery Journal

|May 10, 2011

Summary

This summary is machine-generated.

This study introduces spreader flaps for internal valve reconstruction after dorsal reduction (humpectomy). This technique reconstructs the nasal valve and improves aesthetic nasal lines with precise control.

More Related Videos

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Related Experiment Videos

Last Updated: Jun 2, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Area of Science:

Plastic Surgery
Rhinoplasty
Facial Plastic Surgery

Background:

Dorsal reduction (humpectomy) in rhinoplasty can lead to nasal irregularities and internal valve compromise.
Traditional methods like spreader grafts are used for internal valve reconstruction.
Existing techniques may not fully address aesthetic nasal line concerns.

Purpose of the Study:

To present a novel technique for internal valve reconstruction using spreader flaps during dorsal reduction.
To demonstrate the efficacy of spreader flaps in restoring middle vault structure and nasal aesthetics.
To provide a detailed description of an internal valve reconstruction method honed over 15 years.

Main Methods:

Utilizing imbricated dissected ends of upper lateral cartilages as spreader flaps.
Applying spreader flaps at the interface with the septum during humpectomy.
Performing internal valve reconstruction concurrently with dorsal reduction.

Main Results:

Spreader flaps effectively reconstruct the internal valve disrupted during dorsal reduction.
The technique allows for precise, incremental control over nasal aesthetics.
This method reconstructs middle vault structure and creates aesthetically pleasing nasal lines.

Conclusions:

Spreader flaps offer a reproducible and effective method for internal valve reconstruction.
This technique addresses both functional and aesthetic outcomes following dorsal reduction.
The spreader flap method provides surgeons with enhanced control during rhinoplasty procedures.