Dorsal Augmentation in Facial Profiloplasty

Jang, Yong Ju; Yoo, Shin Hyuk

doi:10.1055/s-0039-1695726

Cited by 7 publications

(4 citation statements)

References 25 publications

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“…However, it has its own set of limitations including visible pebbling of the surface if not diced into sufficiently small pieces or in thin skin individuals. 9,10 It is malleable and may yield to pressure. 8 It can also lead to contour irregularities due to displacement of graft in the sleeve.…”

Section: Discussionmentioning

confidence: 99%

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

Bhat,

Pawar,

Katyal

et al. 2024

Indian J Plast Surg

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Background Augmentation rhinoplasty requires graft with substantial volume. In cases where patient is reluctant to use costal cartilage, this can be done using septum and conchal cartilage graft. Using the technique of “stacked cartilage graft” an assembly is made using septum and conchal cartilage for nasal augmentation and contour defects. Although multilayered grafts have been described before, we propose an elaborate and effective method named after our city, Mumbai, to shape these grafts and highlight economical use of conchal and septal cartilage to overcome its limited volume. It also describes its clinical and aesthetic outcome of this technique in Indian patients. Methods A retrospective study from 2005 to 2020 was done in our institute. Data was collected from medical and hospital records. Preoperative and postoperative photographs were obtained for preoperative planning and outcome analysis. Rhinoplasty Outcome Evaluation score was used for outcome analysis. Minimum follow-up was 1 year in our study. Results A total of 210 patients were included in our study. In all cases, the stacked cartilage graft technique produced a natural appearing dorsum. Complications of cartilage such as resorption, extrusion, and warping were minimum. All the patients were satisfied with their results. Conclusion Although the limited volume of conchal cartilage is criticized, in reality it can be used effectively for larger requirement with “economy of use” using our technique. The curvatures and convolutions of conchal cartilage can be effectively neutralized by using this technique to obtain a smooth surface.However, this technique requires incorporation of every bit of cartilage and meticulous stacking of the pieces to get the desired shape. Thus, the stacked cartilage grafts have excellent versatility and produce natural and long-lasting results and minimal complications.

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Section: Discussionmentioning

confidence: 99%

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

Bhat,

Pawar,

Katyal

et al. 2024

Indian J Plast Surg

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“…Even though a dorsal hump does not cause functional problems for some people, they may find it bothersome. It can shape the nose to fit aesthetic preferences by having DA rhinoplasty [ 5 , 6 , 8 , 23 , 30 – 34 ].…”

Section: Methodsmentioning

confidence: 99%

“…Long-term DA using such methods may leave the graft visible. It is not recommended to use conchal cartilage for severe dorsal deficiency [ 34 ].…”

Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

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Background An essential aspect of rhinoplasty is the enhancement of the nasal dorsal contour by performing dorsal augmentation (DA) rhinoplasty. A wide range of techniques are available for DA as the demand for aesthetic nasal refinement grows. This review aims to provide a comprehensive overview of the current techniques used in DA rhinoplasty. Main body Research articles on DA rhinoplasty techniques were identified through a comprehensive literature search. Scopus, PubMed, and Web of Science were used as electronic databases. Each database was searched for articles published since its inception. DA rhinoplasty techniques were examined in this literature review. Methodological quality was assessed for the selected studies, and data was extracted to examine materials used, surgical approaches, and reported outcomes for each technique. Various DA methods, including autologous grafts and synthetic implants, are examined in-depth in this review. Comparing approaches can help better understand their respective advantages and limitations. Conclusion A wealth of techniques is available for DA rhinoplasty, each with advantages. Patients’ nasal anatomy, desired outcomes, and potential risks must be considered by surgeons when determining their surgical approach. DA methods continue to evolve rapidly, creating a need for a thorough understanding of the current landscape to make informed decisions.

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“…In contrast, rhinoplasty in East Asia typically comprises augmentation rhinoplasty requiring dorsal and tip augmentation. 1 Yet, contrary to popular belief, a hump nose also poses a significant problem for East Asian rhinoplasty; nuances and special considerations are required to manage an East Asian hump nose. This report addresses some important considerations for the successful management of hump nose among Asians.…”

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confidence: 99%

Special Consideration in the Management of Hump Noses in Asians

Jang

Moon

2020

Facial Plast Surg

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Although not as prevalent as in Caucasian rhinoplasty, correction of a hump nose also poses a significant problem for East Asian rhinoplasty. The hump noses in East Asians can be classified as generalized humps, isolated humps, and relative humps with a low tip. Appropriate management of the Asian hump nose demands a good understanding of the anatomical characteristics unique to East Asians. As the East Asians generally prefer to have a nose with a prominent tip and well-augmented nasal dorsum, the concept of redistribution is significant in managing convex dorsum of the East Asians. Hump reduction should be done in a conservative and incremental manner, including careful removal of the bony cap and cartilaginous hump. Tip augmentation using a septal extension graft is an essential maneuver to achieve an aesthetically pleasing tip height, which has a tremendous impact on the overall aesthetic outcome. Midvault reconstruction, dorsal augmentation, and camouflage are additional key elements for the success of the operation. Complications such as undercorrection and dorsal irregularities are not uncommon, requiring surgeons to take utmost care to address them.

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Dorsal Augmentation in Facial Profiloplasty

Cited by 7 publications

References 25 publications

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

Versatility and Outcomes of ‘Mumbai Technique’ of Stacked Cartilage Grafts in Indian Rhinoplasty

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Special Consideration in the Management of Hump Noses in Asians

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