New Scientific Articles and Studies About Nose Aesthetics

Rhinoplasty news 1: Recent studies and information on nasal aesthetics

New Scientific Articles and Studies About Nose Aesthetics

I wanted to share 10 articles and results published in the last few months.

I don't always agree with the results of this article, but I wanted to share with you because it carries valuable information. In the following period, I will share with you more recently published works and results.

1- Rhinoplasty outcomes and trends  -

This scientific article highlighted some trends for rhinoplasty surgeons these:
  • For nasal valve collapse treatment  to use Monarch nasal implant, absorbable valve implant and titanium butterfly implant rather than traditional cartilaginous grafts. I dont like any industrial artifical tissues to using the nasal valve openning. You can find more details about nasal vaşlve surgery at >> Nasal Valve Collapse and Treatment
  • For augmentation rhinoplasty operation, it is still a gold standard to use autologous cartilage grafts. 
  • Alloplastic implants are still very popular for Asian rhinoplasty operations. A combination of implant materials for augmentation rhinoplasty can improve outcomes while minimizing complications. "I can't say to silicone implant or Gore-Tex material are safer as patients own cartilage grafts, first choice may be patiens's tissue and secondly may be rib allografts".
2 - Three-dimensional Morphing and Its Added Value in the Rhinoplasty Consult

It is emphasized that 3D animation provides more useful information for both patients and physicians than 2D animation. This may give more clear communication between surgeon and patient. It is emphasized that especially in revision nasal aesthetic surgeries, it is beneficial to explain the results of aesthetic nasal surgery to be done to patients "no animation can fully show the outcome of the surgical procedure, especially in patients who have undergone recurrent nasal surgery, all details of the nasal anatomy can be understood during the operation. Revision rhinoplasty operations are in the form of a surprise box. if surgical result is different than 3D postop image, serious frustrations may arise ".

3 - Role of Fresh Frozen Cartilage in Revision

In this article, the authors believe that fresh frozen, non-irradiated cartilage allografts are a source of donor cartilage graft for revision rhinoplasty because it is associated with lower complication rates for revision rhinoplasty. Long-term studies are required with increasing sample size to prove that fresh frozen cartilage grafts are better than other sources than irradiated cadaveric rib cartilages. "I think grafts containing human cartilage tissue are safer than artificial nasal implants, albeit belonging to another human being. It is a beautifully designed article but more extensive studies are needed."

4 - Augmentation Rhinoplasty with Silicone Implants/

In this article, the authors emphasized that the nose is reinforced with autologous tissue or synthetic implants and that silicone implants give good results due to the nasal cartilage-like consistency. "Silicone nasal implants are commonly used for augmentation rhinoplasty, especially in Asian people. I have seen patients with many silicone implants coming out of the nose through tissue reaction. I don't think that grafts containing cartilage tissue can be used as the first choice."

5 - Litigation in

In this study, it was emphasized that most of the malpractice treatment cases after the rhinoplasty operation were concluded in favor of the surgeon. Overall, this perspective emphasizes the importance of the surgeon's training and experience in the prevention of neglect and subsequent misconduct.

6 - Autologous Fat Grafting's Effect on Edema and Ecchymoses in Primary Open

In this study, we described a novel technique using fat grafts during primary open rhinoplasty operation. It was emphasized that there was a faster dissolution of caries and edema. Autologous fat graft is a useful adjunct to rhinoplasty and is associated with significantly lower ecchymoses during the acute postoperative period. "a nice scientific study, the technique used during open rhinoplasty operation, keeping the patient's blood pressure low during surgery, the use of cortisone-containing cocktails, the use of clotting drugs and vitamins, intraoperative cold application techniques, local anesthetic drugs used after the nose aesthetic surgery can affect the amount of facial edema and bruising".

7 - Three-dimensional printing of a patient-specific engineered nasal cartilage for augmentative

In this study, the authors describe a new process of rhinoplasty that combines three-dimensional printing and tissue engineering approaches. A series of procedures based on computer-aided design have been created to produce a three-dimensional customized nose implant model, which was produced with three-dimensional printing. A nasal cartilage implant was produced by injecting the cartilage-derived hydrogel containing human adipose-derived stem cells into the implant containing the octahedral interior architecture. They observed significant expression levels of chondrogenic markers from human adipose derived stem cells grown with cartilage-derived hydrogel in the designed nasal cartilage. In addition, the nasal cartilage implanted in the subcutaneous region of the mouse exhibited the maintenance of the graceful shape and structure and the striking formation of the cartilage tissues for 12 weeks. Computer-aided design, three-dimensional printing and tissue-derived hydrogel, combining the advanced process, other tissue types will be useful to produce implants underlined. "It's a very nice unitary article, especially in noses with severe tissue loss, it is difficult to find a sufficient amount of tissue-compatible cartilage source for augmentation. This type of augmentation seems to be a future method for revision rhinoplasties".

8 - Comparison of piezoelectric and conventional osteotomy in rhinoplasty: A systematic

In this study, the authors emphasized that there was a decrease in postoperative periorbital edema and ecchymosis after rhinoplasty compared to piezoelectric osteotomy, chisel and conventional osteotomy technique. Currently, the results should be seen as a trend. A definitive recommendation supporting piezoelectric osteotomy cannot be made until further studies with higher numbers of patients are performed. "In recent years, piezoelectric osteotomy has become increasingly common. I usually prefer to cut the bone through a small subcutaneous tunnel on both sides of the nasal bone and with closed technique, but I have many surgeons who do this with piezoelectric".

9 - Effects and Changes on Voice After Rhinoplasty: A Long-Term

Although this surgical procedure is now one of the most performed, vocal changes after rhinoplasty have been rarely studied. The production of sound depends largely on the anatomy, the size of the nasal pyramid and the volume of the nasal cavity. In this study, the reduction rhinoplasty technique proved to cause various changes in the vocal pattern. "however, in patients with nasal obstruction and nasal deformity, there is a need for more comprehensive scientific studies after successful septorhinoplasty operation that positive changes in sound can be detected by reintroduction or resonance of the nasal cavity".

10 - How to reduce complications and sequalae in

In this article, the following recommendations are presented to rhinoplasty surgeons in a very good way:
  • Use materials that are as reliable and as possible as possible.
  • If a problem is encountered instead of a wait-and-see policy, call the patient for a check-up as soon as possible
  • Improve yourself in terms of knowledge and experience
  • Do not use synthetic implant materials as much as possible
  • It is appropriate to remove the implants which have already been nasally esthetized and which come out as a result of the reaction, from the nose as soon as possible
I recommend that you read this article especially my surgeon colleagues who have just started rhinoplasty.

You can find details and before-after photos for rhinoplasty operation at >> Rhinoplasty in Istanbul

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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