[00:00:00]	The Use of Titanium in Revisional Rhinoplasty
[00:00:49]	Titanium in Nasal Reconstruction
[00:01:50]	Results
[00:02:24]	Titanium Septal Reconstruction
[00:02:53]	Severe Anterior Caudal Deflection
[00:03:03]	Interior View
[00:03:07]	Raising Left Inferior Tunnel
[00:03:12]	Raising Left Superior Tunnel
[00:03:15]	Reflecting Left Mucoperichondrium
[00:03:20]	Reflecting Right Mucoperichondrium
[00:03:29]	Excision of Inferior Septal Deflection
[00:03:39]	Exicision of Proximal Septum
[00:03:49]	Titanium Plate Stabilization of Septum
[00:04:16]	Interior View of Bilateral Plate Stabilization
[00:04:21]	Droopy Bulbous Nose
[00:04:42]	Final Result
[00:04:46]	Photo - maintain the strong tip support
[00:04:58]	Titanium Reconstruction For Upward Rotation
[00:05:30]	Vertical Gingival Incision
[00:05:35]	Exposure of Premaxilla
[00:05:38]	Preparation of Submucosal Tunnel Into Infra-tip Area
[00:05:45]	Measurement of Degree of Rotation
[00:05:52]	Measurement and Fabrication of Titanium Plate
[00:06:07]	Insertion and Fixation of Titanium
[00:06:26]	Final Result
[00:06:56]	Photo - works beautifully
[00:07:10]	Photo - nice result
[00:07:16]	Photo - rhinoplasty
[00:07:26]	Titanium Reconstruction For Tip Replacement
[00:07:53]	Severe Nasal Tip Deformity
[00:08:03]	Excision of Tip Cartilages
[00:08:11]	Insertion of Titanium Fabricated Tip
[00:08:42]	Titanium Augmentation of Tip
[00:08:50]	Final Result
[00:09:00]	Photo - multiple rhinoplasties
[00:09:22]	Bilateral Total Tip Overlay Augmentation
[00:09:33]	Photo - terrible tip
[00:09:41]	Photo - try to morcellize
[00:09:49]	Titanium Bony Nasal Vault Reconstruction
[00:09:56]	Right Bony Nasal Vault Collapse
[00:10:08]	Fabrication of Titanium Sheet
[00:10:19]	Screw Fixation
[00:10:28]	Bilateral Bony Nasal Vault Collapse
[00:10:30]	Fabrication of Titanium Plate
[00:10:35]	Screw Fixation Into Nasal Root
[00:10:42]	Combined Collapse
[00:10:55]	Fabrication of Titanium Plate
[00:11:02]	Screw Fixation Intro Contralateral Nasal Bone
[00:11:11]	Photo - bilateral collapse
[00:11:21]	Photo
[00:11:24]	Titanium Reconstruction of External Nasal Valve Collapse
[00:11:49]	Right External Nasal Valve Collapse
[00:12:07]	Soft Tissue Tunnel Into External Nasal Valve Area
[00:12:16]	Insertion of Titianium Plate
[00:12:25]	Distribution of Titanium Plate to Contralateral Side
[00:12:30]	Bilateral Screw Fixation of Titanium Plate Into Maxilla
[00:12:56]	Photo - immediate appreciation of an increase in their breathing
[00:13:07]	Photo - what are you going to do with this
[00:13:30]	Photo - Denting here is just terrible
[00:13:42]	Pre and Post Operative Results - Combination Techniques
[00:13:45]	Combination Techniques
[00:13:53]	Illustration - combination
[00:13:56]	Photo - tip plasty
[00:14:28]	Photo - pressure that can be applied to these tissues
[00:14:33]	Combination Techniques
[00:14:44]	Illustration - total tip titanium replacement...
[00:14:50]	Photo - 3 previous rhinoplasties
[00:14:59]	Photo - Nice contour
[00:15:10]	Photo - Thin skin
[00:15:17]	Combination Techniques
[00:15:27]	Illustration
[00:15:30]	Photo - overview
[00:15:36]	Photo - external valve collapse
[00:15:42]	Photo - get rid of the external valve collapse
[00:15:45]	Photo - here she is postoperatively
[00:15:50]	Maximum Internal Nasal Support System
[00:16:06]	MINSS Nasal Valve Reconstruction
[00:16:36]	MINSS Bony Nasal Vault Reconstruction
[00:16:44]	MINSS Tip Replacement and Support Reconstruction
[00:16:56]	MINSS Bilateral and Unilateral Tip Reconstruction
[00:17:04]	MINSS Dorsal Augment and Nasal Support Reconstruction
[00:17:13]	Maximum Internal Nasal Support System
[00:17:15]	Photo - collapse
[00:17:21]	Photo - no septum
[00:17:28]	Photo - nasal cripple