Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System

Jiang, Austin; Chamata, Edward; Bressler, Fred J.

doi:10.1055/s-0041-1727271

Cited by 3 publications

(2 citation statements)

References 48 publications

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“…Patients rate their level of satisfaction on a scale of 1 to 4 (1 = very dissatisfied, 4 = very satisfied). The second part, "Adverse Effects", asks patients to rate the extent of how much they were bothered by postoperative problems such as thickness or swollen appearance of skin or tenderness over the nose on a scale of 1 to 4 (1 = not at all, 4 = extremely) [ [15,16,23,45,46] . During a consultation, rhinoplasty surgeons have the opportunity to evaluate a patient's goals and motivations and assess the likelihood of a successful outcome.…”

Section: Are There Ways We Can Objectively Measure Satisfaction?mentioning

confidence: 99%

Persistent cosmetic dissatisfaction in rhinoplasty & management of the difficult patient

Zhang,

Deane,

Becker

2024

Plast Aesthet Res

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The rhinoplasty surgeon will undoubtedly encounter a cosmetic patient who is persistently dissatisfied with their results, no matter the objective outcome achieved. This article seeks to describe risk factors for postoperative dissatisfaction and highlight effective management strategies for the “difficult patient.” A literature search was performed using PubMed and Embase databases during September and October of 2023 to identify articles that analyzed factors related to dissatisfaction in rhinoplasty. Forty unique references were identified. The majority of structural aesthetic complaints related to dissatisfaction after rhinoplasty were residual dorsal hump (20%) or persistent tip dissatisfaction (19%-37%). Demographic factors including younger age, male sex, self-referral, history of body dysmorphic disorder or abuse/neglect were risk factors for postoperative dissatisfaction. Ineffective patient-provider communication, litigation due to inadequate informed consent, and surgeon inattentiveness were contributing factors to postoperative dissatisfaction. Revision rhinoplasty rates ranged from 5%-15%, where most patients sought revision surgery due to the development of a new deformity or failure to correct the original deformity, with the greatest complaints at the nasal bridge and nasal tip. Validated patient-reported outcome measures including Rhinoplasty Outcome Evaluation (ROE) and FACE-Q can be effective questionnaires to assess satisfaction. Appropriate patient selection, adequate preoperative counseling and consent, effective communication, and reaching a consensus about surgical goals are all effective strategies in the management of a dissatisfied patient.

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Section: Are There Ways We Can Objectively Measure Satisfaction?mentioning

confidence: 99%

Persistent cosmetic dissatisfaction in rhinoplasty & management of the difficult patient

Zhang,

Deane,

Becker

2024

Plast Aesthet Res

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“…25 It has relatively high revision rates that can approach 15%. 26,27 The nasal skin-soft tissue envelope (SSTE) that covers the osseocartilaginous framework of the nose varies in thickness among individuals. Nonetheless, this soft-tissue thickness is generally small in the nose when compared with other osseocartilaginous structures in the human body, such as long bones.…”

Section: Introductionmentioning

confidence: 99%

The Role of Autologous Fat Grafting in Rhinoplasty

2022

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Rhinoplasty is one of the most popular aesthetic surgeries worldwide and often includes grafting techniques to achieve optimal results. One of these grafting techniques is autologous fat transfer, which has been used to increase volume, camouflage irregularities, and/or improve the quality of the nasal skin soft tissue envelope. Moreover, minimally-invasive approaches for altering the nasal appearance have recently increased and become known as "liquid" or "non-surgical rhinoplasty." These non-surgical approaches include altering the nasal appearance with filler injection to induce volumetric changes in lieu of extensive surgery. The use of fat grafting as a filler is favorable to achieve well-balanced aesthetic results without compromising the nasal skin soft tissue envelope. This capability is partly because of the regenerative potential of fat grafts, serving to improve the quality of surrounding soft tissues. In contrast, commercial injectable fillers are inert. This article highlights the role of fat grafting in surgical and non-surgical rhinoplasty to provide surgeons with an overview of the potential of these vastly abundant, biocompatible, and cost-effective grafts.

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Changing practices in septorhinoplasty: the Irish experience

O’Neill,

Abdulrahman

2024

Eur Arch Otorhinolaryngol

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Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System

Cited by 3 publications

References 48 publications

Persistent cosmetic dissatisfaction in rhinoplasty & management of the difficult patient

Persistent cosmetic dissatisfaction in rhinoplasty & management of the difficult patient

The Role of Autologous Fat Grafting in Rhinoplasty

Changing practices in septorhinoplasty: the Irish experience

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