The Editorial Journal

Notes from the practice.

Long-form articles on facial plastic surgery, nasal and sinus medicine, and the considered work of the Manhattan practice — written and reviewed by Dr. Moustafa Mourad, MD, FACS.

Recent

Published in the last three months.

Side-by-side educational illustration showing the nose at rest and drooping when smiling, with depressor septi nasi muscle pull, increased apparent dorsal hump visibility, and a shorter tip-to-upper-lip distance.

Nose · Featured

Why Does My Nose Droop When I Smile?

A nose that droops when smiling may reflect dynamic nasal tip ptosis. Why the tip drops with facial animation, why a hump can look more prominent, and which treatment options may help.

July 13, 20268 min read

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Pencil-sketch portrait of a poised face with balanced, harmonious features

Nose

Why the First Rhinoplasty Matters

The first operation works on the cleanest anatomy a surgeon will ever see. A look at why restraint, support, and an unhurried consultation set up a durable result — and reduce the odds of needing revision.

June 9, 20266 min

Pencil-sketch of two serene facial profiles facing one another in quiet symmetry

Nose

Why Some Rhinoplasties Look Natural and Others Look Operated

The difference between a natural result and an operated one is rarely about size. It is about proportion, preserved support, function, and how the nose heals over the months after surgery.

June 8, 20266 min

Pencil-sketch abstract study of softly layered, overlapping petal-like forms

Nose

What Scar Tissue Means in Revision Rhinoplasty

Scar tissue is the single biggest reason revision rhinoplasty is less predictable than a first operation. It changes dissection, swelling, contour, and timing — and it shapes how a surgeon plans the repair.

June 6, 20266 min

Pencil-sketch still-life of a hand holding a small, smooth curved form

Nose

Cartilage Grafts in Rhinoplasty: What They Actually Do

Cartilage grafts are one of the most misunderstood parts of nose surgery. They are not filler — they are structural support used to straighten, reinforce, camouflage, and rebuild.

June 4, 20266 min

Pencil-sketch portrait at rest with soft flowing air-current lines suggesting an easy breath

Nose

Why Breathing Can Improve or Worsen After Rhinoplasty

The nose is an airway as much as a feature. Whether breathing improves or worsens after rhinoplasty depends on how the septum, valves, and structural support are handled.

June 2, 20265 min

Notes from the practice.

Published in the last three months.

Why Does My Nose Droop When I Smile?

Why the First Rhinoplasty Matters

Why Some Rhinoplasties Look Natural and Others Look Operated

What Scar Tissue Means in Revision Rhinoplasty

Cartilage Grafts in Rhinoplasty: What They Actually Do

Why Breathing Can Improve or Worsen After Rhinoplasty

Earlier writing.