Rhinoplasty outcomes and trends

Ho, Osan Y.M.; Ku, Peter K. M.; Tong, Michael C. F.

doi:10.1097/moo.0000000000000554

Cited by 13 publications

(15 citation statements)

References 24 publications

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“…Currently, the implant materials commonly used in rhinoplasty are manufactured in a standard mold and then sculpted by the surgeon on the operating table to match the external shape of the patient's nose. The surgical outcome depends more on the aesthetics, experience, and skill level of the surgeon, and many patients do not realize until after the operation that the result is far from what they expected and have to remove the implant again [29,30]. With the introduction and popularity of 3DSI, digitally personalized plastic surgery has become possible.…”

Section: Discussionmentioning

confidence: 99%

Investigating the Reliability of Novel Nasal Anthropometry Using Advanced Three-Dimensional Digital Stereophotogrammetry

Liang

Schenck

et al. 2022

JPM

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Three-dimensional surface imaging systems (3DSI) provide an effective and applicable approach for the quantification of facial morphology. Several researchers have implemented 3D techniques for nasal anthropometry; however, they only included limited classic nasal facial landmarks and parameters. In our clinical routines, we have identified a considerable number of novel facial landmarks and nasal anthropometric parameters, which could be of great benefit to personalized rhinoplasty. Our aim is to verify their reliability, thus laying the foundation for the comprehensive application of 3DSI in personalized rhinoplasty. We determined 46 facial landmarks and 57 anthropometric parameters. A total of 110 volunteers were recruited, and the intra-assessor, inter-assessor, and intra-method reliability of nasal anthropometry were assessed through 3DSI. Our results displayed the high intra-assessor reliability of MAD (0.012–0.29, 0.003–0.758 mm), REM (0.008–1.958%), TEM (0–0.06), rTEM (0.001–0.155%), and ICC (0.77–0.995); inter-assessor reliability of 0.216–1.476, 0.003–2.013 mm; 0.01–7.552%, 0–0.161, and 0.001–1.481%, 0.732–0.985, respectively; and intra-method reliability of 0.006–0.598°, 0–0.379 mm; 0 0.984%, 0–0.047, and 0–0.078%, 0.996–0.998, respectively. This study provides conclusive evidence for the high reliability of novel facial landmarks and anthropometric parameters for comprehensive nasal measurements using the 3DSI system. Considering this, the proposed landmarks and parameters could be widely used for digital planning and evaluation in personalized rhinoplasty, otorhinolaryngology, and oral and maxillofacial surgery.

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Section: Discussionmentioning

confidence: 99%

Investigating the Reliability of Novel Nasal Anthropometry Using Advanced Three-Dimensional Digital Stereophotogrammetry

Liang

Schenck

et al. 2022

JPM

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“…24 In the last years, the increase in requests of rhinoplasty brought to light new surgical and medical procedures to satisfy the patient's request. 14 For example, the injection with HA fillers may be a very good choice of treatment in terms of results, but it does not last long and it is not free from severe complications like necrosis of the nasal tip or, in worst cases, loss of vision, even if rare. 15 Open rhinoplasty is required when major aesthetic and functional treatments are needed.…”

Section: Discussionmentioning

confidence: 99%

“…A significant number of patients may think they only have defects in the upper, middle and lower thirds of the face, but a thorough facial analysis and counseling may lead to requiring a primary or secondary profile improvement. Therefore, several surgical and non-surgical techniques are described to approach a face surgical profileplasty and the authors chose five major items for their purpose: forehead correction [10][11][12] , rhinoplasty [13][14][15] , lips lipofilling [16][17][18] , osseous genioplasty 19,20 and submental liposuction 21,22 .…”

Section: Introductionmentioning

confidence: 99%

Single-Step Full-Face Surgical Treatment of the Facial Profile

et al. 2023

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Objective: The present study was performed in order to describe how much affordable, feasible and straightforward is the approach the authors called “single stage full face surgical profileplasty”, tailored to greatly improve the surgery of the facial profiling setting and achieving a complete profile correction at the same time. Materials and methods: From January 2010 to May 2019, 113 patients (95 females and 18 males; ages 19−63 years) were surgically treated for the full-face profile amelioration. Profile correction was performed by using a combination of five procedures out of other various previously experienced: Forehead fat grafting, Rhinoplasty, Lip fat grafting, Genioplasty and Submental Liposuction. All patients were assessed at 1, 3, 6 and 12 months following surgery for assessing the Surgical Profile Treatment (SPT) outcome and any possible side effects of the combined treatment. Facial profile stability at one year was taken as the completion point of this treatment. The Arnett’s “Soft tissue cephalometric analysis” (1999) was used to clinically evaluate the soft tissues before and after the Surgical Profile Treatment. Patients’ satisfaction was measured with the Client Satisfaction Questionnaire-8” (CSQ-8) at 3 and 12 months after surgery. Statistics were used for Arnett’s evaluation. Results: Almost all the values were consistent and reached the normal ranges indicated by Arnett, (p<0.001) confirming that the desired results of the surgical profileplasty have been achieved. Conclusion: Single stage full face surgical profile treatment helps in correcting faults of the global facial deformity and even in every single treated area, providing an overall improvement in face aesthetics and harmony. Obtaining the simultaneous correction in the whole face has also the advantage of avoiding multiple surgical procedures, reducing post-op discomfort and the overall risks for the patient due to multiple surgical and anesthetic procedures.

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“…14 However, clinical observations found that after rhinoplasty, the cartilage graft survived and reshaped, and the stent was partially absorbed, deformed, and fractured, resulting in changes in the shape of the nose. 15 The changes that have occurred in the human body after cartilage transplantation and the process of absorption and regeneration after autologous cartilage transplantation have always been the focus of clinical work. In recent years, scholars' experiments and reports on cartilage transplantation and outcomes mainly focus on issues, such as whether there are growth or changes in volume or morphology after cartilage transplantation, which mostly used small animals as models to carry out 3 to 6 months of research.…”

Section: Discussionmentioning

confidence: 99%

Experimental Study on the Biological Outcome of Auricular Cartilage and Costal Cartilage at Different Time Periods After Autologous Cartilage Rhinoplasty

Sun

Sheng

et al. 2022

Journal of Craniofacial Surgery

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Since autologous cartilage is a good transplant material, it is widely used in various fields of clinical medicine. In this study, we collected clinical specimens obtained at different numbers of years after transplantation and used histologic staining to explore the post-transplantation changes in auricular cartilage and costal cartilage. A retrospective analysis was performed on patients who underwent primary autologous cartilage rhinoplasty and secondary rhinoplasty from 2017 to 2021, and the remaining autologous cartilage tissue after surgery was used for histologic testing. As time progressed after transplantation, the density of costal chondrocytes decreased first and then increased, while the secretion of type II collagen and extracellular matrix both decreased slightly. There was a clear boundary between the cartilage tissue and the surrounding connective tissue, and there was no ingrowth of blood vessels in the cartilage. Auricular cartilage showed a decrease in the integrity of the matrix edge. Moreover, local fibrosis was visible, and vascular ingrowth was observed at the edge of the cartilage. The content of type II collagen first increased and then decreased, and the cell secretion function was lower than that of normal chondrocytes. The results of the study suggest that the histologic outcome of elastic cartilage after transplantation is significantly different from that of hyaline cartilage. Moreover, costal cartilage was more stable than auricular cartilage after transplantation.

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Rhinoplasty outcomes and trends

Cited by 13 publications

References 24 publications

Investigating the Reliability of Novel Nasal Anthropometry Using Advanced Three-Dimensional Digital Stereophotogrammetry

Investigating the Reliability of Novel Nasal Anthropometry Using Advanced Three-Dimensional Digital Stereophotogrammetry

Single-Step Full-Face Surgical Treatment of the Facial Profile

Experimental Study on the Biological Outcome of Auricular Cartilage and Costal Cartilage at Different Time Periods After Autologous Cartilage Rhinoplasty

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