ClinicalKey Latest Issue: Facial Plastic Surgery Clinics of North America

Management and Limitations of Thick Skin in the Secondary Patient

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 245-256 | Cobo, Roxana, MD
Thick skin is a challenge in secondary rhinoplasty, frequently compromising both aesthetic outcomes and the predictability of surgical interventions. This article presents an integrated approach to the management of thick skin in patients undergoi...

Regenerative Biologics in Revision Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 323-328 | Jones, Dustin J., DO; Toriumi, Dean M., MD
Over the previous decade, regenerative medicine has been emerging as a new paradigm in facial plastic surgery in the treatment of skin quality and longevity. Its emergence has begun reshaping how we can approach complex nasal reconstruction and re...

Revising the Extruding or Infected Alloplastic Implant

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 217-228 | Fung, Chak Yuen, MD; Jang, Yong Ju, MD, PhD
Nasal implants are an integral part of both functional and cosmetic rhinoplasty. Alloplastic materials remain as a popular choice of nasal implant, especially in areas of the world where augmentation rhinoplasty is frequently performed. Many rhino...

Prevention and Treatment of Infection in Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 313-321 | Paun, Santdeep, MBBS, FRCS(ORL-HNS), EBCFPRS; Yip, Hao Meng, MBBS, MRCS (ENT)
Infection after rhinoplasty is uncommon but potentially devastating, threatening both functional and aesthetic outcomes. Reported rates range from 0.2% to 2%, with higher risk in revision cases and when grafts or implants are used. This article re...

Optimizing Recovery in the Secondary Rhinoplasty Patient

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 329-338 | Terry, Morgan, MD; Krane, Natalie A., MD
Evidence-based strategies to optimize recovery following secondary (revision) rhinoplasty are detailed herein. We emphasize a holistic, proactive approach that encompasses the entire surgical process, from patient selection to preoperative optimiz...

The Delta Graft

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 339-346 | Ferreira, Miguel Gonçalves, MD, PhD; Santos, Mariline, MD, PhD; Hamilton, Grant S., MD
Achieving optimal control of the nasal tip and middle vault remains one of the greatest challenges in rhinoplasty, particularly when addressing the complex dynamics of the lateral crura. The DELTA GRAFT is introduced as a novel structural and func...

Techniques for the Persistently Crooked Nose

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 277-287 | Şeneldir, Süreyya, MD, ENT; Nursoy, Esat, MD
A persistently crooked nose refers to a condition in which the deviation of the nasal pyramid from the facial midline remains or reappears after the rhinoplasty surgery. Asymmetries in any compartment of the nose are among the main concerns of pat...

Revising the Dorsal Preservation Rhinoplasty Patient

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 303-311 | Boochoon, Kieran Steffen, MD; Barrera, Jose Enrique, MD
Dorsal preservation rhinoplasty is becoming more widely used due to the ability to preserve the dorsal bony-upper lateral cartilage junction, the dorsal septum to the ethmoid, and nasal ligaments. While this technique offers some advantages compar...

Salvaging the Compromised Soft-Tissue Envelope in Revision Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 237-244 | Deot, Neal, MD; Nassif, Paul S., MD
This article reviews evidence-based strategies for preserving and salvaging the nasal skin–soft tissue envelope (SSTE) in revision rhinoplasty, where prior surgical intervention often leaves diminished vascularity, scarring, and reduced tissue qua...

Endonasal Secondary Rhinoplasty Techniques

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 229-236 | Shomorony, Andre, MD; Friedman, Oren, MD
Revision rhinoplasty remains one of the most demanding procedures in facial plastic surgery, challenging not only because of the altered anatomy, deficiencies of structural support, and complex 3-dimensional morphology of the nose, but also becaus...

Safe and Simple Costal Cartilage Harvest

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 257-263 | Lee Peng, Grace, MD; Hamilton, Grant S., MD
Most rhinoplasty patients have insufficient reconstructive cartilage, which is often required for structural considerations like tip support, reconstructing internal or external nasal valves, or for dorsal augmentation or camouflage. When there is...

Forthcoming Issues

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages ix-ix
Forthcoming Issues August 2026 Healing from Within: Biologics in Facial Plastic Surgery Gregory Keller and Allison Pontius, Editors November 2026 Different Methods in Surgical Facial Rejuvenation Laxmeesh Mike Nayak and Dominic Bray, Editors Febru...

That Which Does Not Kill Us…

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages xi-xi | Sclafani, Anthony P., MD, MBA, FACS
Anthony P. Sclafani, MD, MBA, FACS, Consulting Editor A profile photo of Anthony P Sclafani.Difficulties strengthen the mind, as labor strengthens the body. — Seneca the Younger (4 bc–65 ad), Letters from a Stoic Anthony P. Sclafani, MD, MBA, FACS...

One Step Back, Two Steps Forward

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages xiii-xiv | Hamilton, Grant S., MD
Grant S. Hamilton III, MD, Editor A profile photo of Grant S Hamilton.Rhinoplasty is hard. Secondary rhinoplasty is harder. It is also one of the most rewarding operations I’ve had the privilege of performing. Patients seeking a secondary operatio...

Camouflage Techniques in Secondary Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 265-275 | Tasman, Abel-Jan, PD Dr
This review examines camouflage strategies in secondary rhinoplasty, including cosmetic makeup, injectable fillers, autologous fat grafting, fascia, cartilage, bone paste, and allogenic materials. Autologous cartilage—particularly diced or paste p...

Contributors

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages iii-iv
Consulting Editor ANTHONY P. SCLAFANI, MD, MBA, FACS Chief, Facial Plastic Surgery, Professor of Otolaryngology–Head and Neck Surgery, Assistant Dean for Admissions, Weill Cornell Medical College, New York, New York, USA Editor GRANT S. HAMILTON I...

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages v-viii
Foreword: That Which Does Not Kill Us… xi Anthony P. Sclafani Preface: One Step Back, Two Steps Forward xiii Grant S. Hamilton III Basics of Trauma-Informed Care for the Facial Plastic Surgeon 169 Barbara Mullen, Miguel G. Ferreira, and Grant S. H...

Revision Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 289-302 | Longino, Elizabeth S., MD; Most, Sam P., MD
Revision rhinoplasty is one of the most challenging procedures in facial plastic surgery. With the appropriate approach and techniques, it may be handled with both caution and confidence. This article details the senior author’s approach to revisi...

Basics of Trauma-Informed Care for the Facial Plastic Surgeon

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 169-176 | Mullen, Barbara, MD; Ferreira, Miguel G., MD, PhD; Hamilton, Grant S., MD
Patients seek facial plastic surgery to feel better, not only look better. As surgery is an inherently traumatic event, regardless of the result, patients seeking secondary facial plastic surgery procedures should be evaluated for possible traumat...

Strategies for the Previously Operated Septum

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 207-216 | Liu, Derek H., MD; Hamilton, Grant S., MD; Wong, Brian J.F., MD, PhD
In a standard septoplasty, most of the quadrangular cartilage is resected while preserving an L-strut to maintain structure of the nose. Deviation may recur due to contractile forces causing flexure or torsion of the L-strut, which may be reduced ...

The Use of Hyperbaric Oxygen Therapy in Secondary Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages 177-206 | Toriumi, Dean M., MD
Hyperbaric oxygen therapy (HBOT) has proven to be very helpful to rhinoplasty healing, particularly in complex rhinoplasty defects involving compromised vascularity, the use of flaps or composite grafts, and in cases with prior infection. Outcomes...

Complications and Revision in Rhinoplasty

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages i-i | Hamilton III, Grant S.
FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA www.facialplastic.theclinics.com Consulting Editor ANTHONY P. SCLAFANI May 2026 • Volume 34 • Number 2

Copyright

Facial Plastic Surgery Clinics of North America, Volume 34, Issue 2, 2026 May, Pages ii-ii
ELSEVIER 1818 Market Street • Suite 3323 • Philadelphia, Pennsylvania, 19103-2899 http://www.theclinics.com FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA Volume 34, Number 2May 2026 ISSN 1064-7406, ISBN-13: 978-0-443-43033-6 Editor: Taylor Hayes...