2,810 results match your criteria Complications of Rhinoplasty


A Modified Large-Cap Graft in East Asian Revision Rhinoplasty.

Aesthetic Plast Surg 2022 May 16. Epub 2022 May 16.

The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Reconstructing a well-defined nasal tip is a big challenge for East Asian patients, especially with nasal tip irregularities or short noses in revision rhinoplasty. This study aims to report our experience with a modified large-cap graft for improving the contour of the nasal tip in revision rhinoplasty.

Methods: A retrospective review was conducted for 91 patients (81 females, 10 males; mean age, 26. Read More

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Supratip suture and skin scoring technique in the patient with thick skin in rhinoplasty.

Am J Otolaryngol 2022 May 6:103481. Epub 2022 May 6.

Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.

Objective: The aim of this study is to demonstrate a new surgical technique to achieve ideal nasal tip rotation and projection with nasal supratip angle in patients with thick skin.

Method: Supratip suture and skin scoring technique was used in 24 patients who underwent open technique septorhinoplasty operation between the years 2019 and 2022. In this technique the nose skin was thinned with scissors. Read More

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A Safe Nonsurgical Rhinoplasty Procedure.

Plast Reconstr Surg 2022 May 6. Epub 2022 May 6.

From Aix-Marseille University, APHM, IUSTI, La Conception University Hospital, Department of Oto-Rhino-Laryngology Head and Neck Surgery; L'Artistique Medical Healthcare Centre; Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire, Université Côte d'Azur; and Clinique Saint George.

Summary: Nonsurgical rhinoplasty procedures are not without risks: although rare, intravascular injections of hyaluronic acid can lead to serious complications. Very few authors have reported using cannulas for filler injection in the nose. The purpose of this article is to describe how the authors perform nonsurgical rhinoplasty using a single entry point and cannulas, significantly reducing vascular and infection risks. Read More

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Fresh Frozen Rib Cartilage Grafts in Revision Rhinoplasty: A 9-Year Experience.

Plast Reconstr Surg 2022 May 6. Epub 2022 May 6.

From the Dallas Plastic Surgery Institute; Baylor College of Medicine; Division of Plastic Surgery, Baylor Scott & White, Texas A&M Health Science Center; and private practice.

Background: Revision rhinoplasty is undoubtedly one of the most challenging procedures in facial plastic surgery. The complexity is compounded when there is a paucity of native septal cartilage to perform the required framework reconstruction. Harvest of autologous costal cartilage can result in increased operative times and possible secondary-site complications such as contour irregularity, poor scarring, and even pneumothorax. Read More

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Complications following thread rhinoplasty.

J Cosmet Dermatol 2022 May 4. Epub 2022 May 4.

Department of Plastic and Reconstructive Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.

Background: The debate on thread rhinoplasty (TR) has never stopped owing to its complications. However, few studies have reported the clinical characteristics of TR complications, as well as their treatment.

Aims: We aim to summarize the clinical, ultrasonographic, and histopathologic characteristics of TR complications. Read More

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The Columellar Arteries in the Asian Nose.

Facial Plast Surg Clin North Am 2022 May;30(2):143-148

Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand. Electronic address:

The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Read More

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Prevalence of complications associated with polymer-based alloplastic materials in nasal dorsal augmentation: a systematic review and meta-analysis.

Maxillofac Plast Reconstr Surg 2022 Apr 22;44(1):17. Epub 2022 Apr 22.

Maxillofacial Surgery & Implantology & Biomaterial Research Foundation, Tehran, Iran.

Background: Various techniques with different grafts and implants have been proposed to establish a smooth and symmetric nasal dorsum with adequate function. Broadly, two categories of materials have been used in this regard: alloplastic implant materials and autograft materials. The aim of these meta-analyses is to explore the incidence of complications after dorsum augmentation surgery using alloplastic materials. Read More

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Early Postoperative Sequelae After Open Sky Access in Nasal Osteotomy: A Comparative Study.

Ann Plast Surg 2022 05 18;88(5):480-484. Epub 2022 Feb 18.

From the Department of Plastic and Reconstructive Surgery.

Introduction: Nasal osteotomy is a powerful cornerstone step in almost all rhinoplasty procedures and is a major cause of postoperative periorbital ecchymosis and edema after rhinoplasty. Different accesses for osteotomy have been described, the most popular of which is the external perforating and the internal continuous methods. These accesses are blind maneuvers and have some drawbacks such as possible visible scar formation in the percutaneous access or high rate of mucosal tear in the endonasal access. Read More

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Long-Term Outcomes of Secondary Nasal Tip Plasty After Degradation of a Polycaprolactone (PCL) Mesh.

Aesthetic Plast Surg 2022 Apr 18. Epub 2022 Apr 18.

UVOM Plastic Surgery Clinic, Dosan-daero 326, Gangnam-gu, Seoul, Republic of Korea.

Background: In secondary nasal tip plasty, it is often difficult to harvest appropriate septal extension grafts for sufficient tip projection. Therefore, studies using numerous alloplastic materials in rhinoplasty have been reported. This study aimed to evaluate the nasal tip change over time after tip plasty using a PCL mesh. Read More

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Presentation Patterns and Surgical Management of the Complications of Thread Rhinoplasty.

Clin Exp Otorhinolaryngol 2022 Apr 8. Epub 2022 Apr 8.

Department of Otorhinolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Korea.

Objectives: Nonsurgical rhinoplasty using threads has gained popularity in recent years. While the benefits of this procedure are being emphasized, possible complications and their management are not well-known. This study aimed to present the surgical management and resultsof the complications of thread rhinoplasty. Read More

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Correction of a Secondary Bilateral Cleft Lip Nasal Deformity in Adults Using Repositioning of Both Lower Lateral Cartilages and Nasal Tip Plasty Through an Open Bilateral Reverse-U Incision.

J Craniofac Surg 2022 Mar-Apr 01;33(2):506-511

Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, South Korea.

Background: Correcting a secondary bilateral cleft lip nasal deformity is very complex with many challenges due to its complexity. This study presents the surgical results after correcting a secondary bilateral cleft lip nasal deformity using isolation and repositioning of the lower lateral cartilages, the columellar strut, and an onlay graft on the nasal tip.

Method: Eighteen patients who had bilateral cleft lip nasal deformities and who had surgery performed between September 2013 and December 2019 were included in this study. Read More

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Correction of Severe Secondary Cleft Lip Nasal Deformity.

J Craniofac Surg 2022 Mar-Apr 01;33(2):404-408

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, South Korea.

Background: The lower lateral cartilages (LLCs) are key elements for alar and tip support. Repositioning of both LLCs is an effective procedure for correcting a laterally spreading dome of LLCs and drooping nasal tip in cleft lip nasal deformity (CLND). The alar contour graft has become an essential component of rhinoplasty for correcting the concave or collapsed and retracted alar. Read More

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Utilization of Leech Therapy after Rhinoplasty.

Plast Reconstr Surg 2022 Apr 5. Epub 2022 Apr 5.

From the private practice; and Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California.

Background: The use of medicinal leeches in modern reconstructive surgery is well-described. Leech therapy after rhinoplasty has not been previously well-characterized.

Methods: The medical records of all patients who underwent open rhinoplasty by a single surgeon over a 4-year period were reviewed. Read More

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Brachycephalic Obstructive Airway Syndrome.

Vet Clin North Am Small Anim Pract 2022 May 1;52(3):749-780. Epub 2022 Apr 1.

Department for Small Animal and Equine, Clinic for Small Animal Surgery, University of Veterinary Medicine Vienna, Veterinärplatz 1, A- 1210 Vienna, Austria.

Dogs presenting with brachycephalic obstructive airway syndrome suffer from multilevel obstruction of the airway as well as secondary structural collapse. Stenotic nares, aberrant turbinates, nasopharyngeal collapse, soft palate hyperplasia, macroglossia, tonsillar hypertrophy, laryngeal collapse, and left bronchial collapse are described as the most common associated anomalies. Rhinoplasty and palatoplasty as well as newer surgical techniques and prudent preoperative and postoperative care strategies have resulted in significant improvement even in middle-aged dogs. Read More

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A systematic review and meta-analysis of the efficacy and complication rates of augmentation rhinoplasty with autologous cartilage and silicone prosthesis.

Ann Palliat Med 2022 Mar;11(3):993-1000

Department of Plastic Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.

Background: Rhinoplasty is one of the most common operations in plastic and aesthetic surgery. Both solid silicone material and autologous cartilage (AC) tissue have their individual advantages and disadvantages. In this meta-analysis, the efficacy, complication rate of rhinoplasty with AC and silicone material were comprehensively analyzed and compared. Read More

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Complications associated with irradiated homologous costal cartilage use in rhinoplasty: A systematic review and meta-analysis.

J Plast Reconstr Aesthet Surg 2022 Feb 26. Epub 2022 Feb 26.

Department of Pediatrics, Ditmanson Medical Foundation Chia-Yi Hospital, Chiayi, Taiwan; Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan. Electronic address:

Background: The use of irradiated homologous costal cartilage (IHCC) as an alternative source of graft material for rhinoplasty remains controversial because of the risk of complications. Herein, we aimed to perform a comprehensive assessment of complications associated with IHCC use in rhinoplasty through a meta-analysis of published studies.

Methods: We searched the PubMed, Embase, and Cochrane Library databases to identify eligible published studies, and we evaluated the complication rates of IHCC use in rhinoplasty. Read More

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February 2022

Nasal Reconstruction Using Rib Grafting with Cold Light Source Technology.

Aesthetic Plast Surg 2022 Mar 28. Epub 2022 Mar 28.

The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Although costal cartilage is a reliable source of cartilage for rhinoplasty and provides a strong scaffold for total nasal reconstruction, traditional collection techniques may cause complications at the donor site. In this paper, we report a simple and safe technique for harvesting full-length costal cartilage and its application in total nasal reconstruction.

Methods: From May 2018 to December 2020, 24 patients with nasal defects, including 16 females and eight males, received nasal reconstruction in the Rhinoplasty and Repair Center of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences. Read More

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Diced cartilage for dorsal augmentation in rhinoplasty: effect on nasal projection and frontal nasal width.

Int J Oral Maxillofac Surg 2022 Mar 25. Epub 2022 Mar 25.

Otorhinolaryngology Research Centre, Tehran University of Medical Sciences, Tehran, Iran.

This research study was designed to evaluate the aesthetic consequences of different dorsal augmentation techniques using diced cartilage on dorsal width and projection in rhinoplasty. Patients were assigned to three groups based on the dorsal augmentation technique used: diced cartilage wrapped in fascia (DCIF), free diced cartilage under fascia (DCUF), and free diced cartilage without fascia (FDC). Dorsal projection and dorsal aesthetic width were measured at two levels using pre- and postoperative photographs. Read More

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Dorsal Preservation Surgery: A Novel Modification for Dorsal Shaping and Hump Reduction.

Aesthet Surg J 2022 Mar 22. Epub 2022 Mar 22.

Plastic surgeon in private practice in Nice, France.

Background: A new technique for dorsal preservation rhinoplasty is introduced which minimizes recurrent hump deformity.

Objectives: A novel Dorsal Roof Flap (DRF) technique is presented for modifying the nasal hump and dorsum while reducing morbidity.

Methods: Twenty-two primary and 3 secondary rhinoplasty patients had one of two types of nasal dorsal roof flaps (DRF) depending on hump composition. Read More

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A Prospective Study of Multimodal Cocktail Intercostal Injection for Chest Pain Relief after Costal Cartilage Harvest for Rhinoplasty.

Br J Oral Maxillofac Surg 2021 Dec 29. Epub 2021 Dec 29.

The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, China. Electronic address:

Our aim was to evaluate the efficacy and safety of multimodal cocktail intercostal injection for the relief of chest pain after costal cartilage harvest for rhinoplasty. Consecutive patients who underwent costal cartilage harvest during rhinoplasty were prospectively assigned as per patient preference to group A (injection containing ropivacaine, parecoxib sodium, epinephrine, and compound betamethasone), group B (intercostal nerve block (ICNB)), or group C (ICNB plus patient-controlled analgesia (PCA)). The outcomes were visual analogue scale (VAS) scores for chest pain after costal cartilage harvest, rescue analgesia, complications, and cost during the first two days. Read More

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December 2021

Role of Derotation Suture in Bulbous Tip Correction in Asian Rhinoplasty.

J Craniofac Surg 2022 Mar 14. Epub 2022 Mar 14.

JW Plastic Surgery Center, Seoul, South Korea.

Abstract: In bulbous tip correction, consideration should be given to the presence of cephalic malposition of lower lateral cartilage as well as volume reduction. Derotation suture is a suture technique for tip lengthening but may contribute to bulbous tip correction through the caudal reposition of lower lateral cartilage.From 2016 to 2018, a total of 50 Asian patients underwent bulbous tip correction with derotation suture. Read More

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The Role of Nasal Sill Correction in Secondary Cleft Rhinoplasty.

Ann Plast Surg 2022 05 10;88(5):513-517. Epub 2022 Mar 10.

Division of Plastic and Reconstructive Surgery, Akron Children's Hospital, Akron, OH.

Background: Evaluating outcomes after cleft rhinoplasty can be challenging because of the lack of objective measures that would lead to a more desirable outcome.

Methods: This study is a 10-year retrospective review of 30 consecutive patients who underwent secondary unilateral cleft rhinoplasty performed by a single surgeon. Subjective ratings were made using the Unilateral Cleft Lip Surgical Outcomes Evaluation (UCL SOE), which rates 4 components (nose, cupid's bow, lateral lip, and free vermillion) with a score of 0 to 2. Read More

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Indications, Techniques, and Postoperative Outcomes of Temporalis Fascia Grafting in Rhinoplasty.

J Craniofac Surg 2022 Mar 9. Epub 2022 Mar 9.

Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University Dr. Suliman Alhabib Medical Complex, Riyadh, Saudi Arabia.

Objectives: To investigate the indication, site, techniques, and complications at the donor and recipient sites of temporalis fascia grafting in rhinoplasty, and patients' satisfaction with the surgical outcomes.

Methods: This retrospective cohort study was performed at King Abdulaziz University Hospital, Saudi Arabia, between January 2015 and January 2020. The predictor variable was the temporalis fascia in different forms. Read More

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Can Morphing Influence the Patient's Decision to Undergo Surgery.

Aesthetic Plast Surg 2022 Mar 7. Epub 2022 Mar 7.

Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.

Morphing is one of the first digital effects developed by the film industry and consists of the fluid, gradual and seamless transformation between two images of different shapes, which can be objects, people, faces, landscapes. In plastic surgery, morphing has been used to show the patient a possible outcome of an operation, such as what the face might look like after a rhinoplasty operation. To undergo a cosmetic surgery the two most important things are the awareness that the patient acquires before the surgery and the motivation to perform the surgery. Read More

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A Single Stage Composite Cleft Septorhinoplasty for Correction of the Mature Unilateral Cleft Nose Deformity - The Gujrat Technique.

Cleft Palate Craniofac J 2022 Mar 2:10556656221082765. Epub 2022 Mar 2.

4020Hull and East Yorkshire Hospitals NHS Trust, Hull, UK (Senior Author).

Objective: To evaluate the results of a single stage composite cleft septorhinoplasty procedure ("The Gujrat Technique") to correct the exaggerated cleft nose deformity after completion of nasal growth in an adult patient cohort.

Methods: Adult patients with a residual unilateral cleft nasal deformity were deemed eligible for the proposed "Gujrat Technique". Over a 10-year period (2007-2017), 96 adult patients underwent this composite cleft septorhinoplasty as a single stage operation. Read More

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The Effect of Subcutaneous Dexamethasone to Reduce Edema and Ecchymosis in Rhinoplasty Patients.

Int J Otolaryngol 2022 14;2022:3054767. Epub 2022 Feb 14.

DWA Energy Limited, Lincoln, UK.

Background: Rhinoplasty is one of the most common types of cosmetic surgery undertaken. In most rhinoplasty patients, an osteotomy is used to reshape the nasal pyramid. The most common complications following osteotomy are edema and ecchymosis. Read More

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February 2022

Clinical Outcomes in Dorsal Preservation Rhinoplasty: A Meta-Analysis.

Facial Plast Surg Aesthet Med 2022 Feb 15. Epub 2022 Feb 15.

Manhattan Eye, Ear, and Throat Hospital, New York, New York, USA.

Dorsal preservation rhinoplasty (PR-D) attempts to preserve as much of the native nasal anatomy as possible when performing a hump reduction, but clinical outcomes are unclear. In patients undergoing PR-D rhinoplasty, this article investigates the rates of complications and revisions. This meta-analysis was prospectively registered on the PROSPERO database. Read More

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February 2022

Complications Associated with Spreader Grafts and Spreader Flaps: A Systematic Review.

Aesthetic Plast Surg 2022 Feb 14. Epub 2022 Feb 14.

DDS, Prosthodontics resident, Maxillofacial Surgery & Implantology & Biomaterial Research Foundation (maxillogram.com), Isfahan, Iran.

Background And Purpose: Spreader grafts and spreader flaps are one of the most common techniques utilized in rhinoplasty surgeries. The aim of this study was to determine the complications, satisfaction, and revision rates associated with spreader grafts and spreader flaps and to compare these two modalities.

Materials And Methods: PRISMA guidelines were followed for conducting this systematic review. Read More

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February 2022

Augmentation rhinoplasty using olecranon bone graft.

Natl J Maxillofac Surg 2021 Sep-Dec;12(3):344-348. Epub 2021 Dec 13.

Department of Plastic and Reconstructive Surgery, NKP Salve Institute of Medical Sciences and Research Institute, Nagpur, Maharashtra, India.

Background: Correction of saddle nose deformity is one of the most frequently sought surgeries by patients seeking rhinoplasty in Asian countries. Nasal dorsal augmentation always requires graft material to achieve the desired result. Various autologous grafts and alloplastic materials have been described in the literature with their advantages and disadvantages. Read More

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December 2021

Cartilage Chips in Rhinoplasty.

Facial Plast Surg 2022 Feb 10. Epub 2022 Feb 10.

Department of Otorhinolaryngology Head & Neck Surgery, Otorhinolaryngology Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Objective:  This study reveals that the cartilage chips can be a good solution for camouflage and augmentation in rhinoplasty.

Methods:  In this study, 64 patients who had undergone rhinoplasty from 2014 to 2019 were retrospectively studied. The average age was 31. Read More

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February 2022