A novel tip suture technique in rhinoplasty: lateral crus caudocephalic rotation suture

Cabbarzade, Cavid

doi:10.1007/s00238-019-01595-x

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…[10][11][12] Almost all deviated noses have columellar and nostril asymmetry. 3,4 If columellar or nostril asymmetry persists in the nose after surgery, the possibility of patient dissatisfaction and the chance of damage to the surgeon's reputation increases. 4 Thus, successful rhinoplasty requires diagnosis and treatment of the columella.…”

Section: Discussionmentioning

confidence: 99%

“…With the use of selfies in the age of social media, the expectations of rhinoplasty patients and the rate of requests for a more symmetrical nose have increased. [1][2][3] Some patients judge the skill of the surgeon by the photos they take from the nasal base. For that reason, symmetry of the nostrils, alae and columella in this view are important.…”

mentioning

confidence: 99%

“…Perhaps the single most important factor in nasal base aesthetics is symmetry. With the use of selfies in the age of social media, the expectations of rhinoplasty patients and the rate of requests for a more symmetrical nose have increased 1–3 . Some patients judge the skill of the surgeon by the photos they take from the nasal base.…”

mentioning

confidence: 99%

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Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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Background: One of the most important factors in nasal base aesthetics is symmetry. In the age of social media, the expectations of rhinoplasty patients and the rate of requests for a more symmetrical nose have increased. In this article, a lateral columellar grafting technique that can be applied to augment the more defective side of the columella and obtain a more symmetrical nasal base is presented. Methods: A total of 86 patients (women, 79; men, 7) were included in this study. The surfaces of the right and left lateral margins of the columella were evaluated from the basal view at the final stage of surgery, and a lateral columellar graft was placed on the more defective side. All patients who were included in the study were assessed with the Rhinoplasty Outcome Evaluation questionnaire before and 1 year after surgery. Results: The median age of the patients was 28.3 years (range, 18-56 years). Eighty-two patients were primary rhinoplasty patients, and 4 patients were secondary rhinoplasty patients. The median Rhinoplasty Outcome Evaluation score was 68.3 points before surgery and 92.3 points 1 year after surgery, showing a significant increase (P = 0.003). Patient satisfaction was found to be excellent in 93% of the included patients. Conclusions: Using the lateral columellar grafting technique, greater symmetry of the columella and nostrils can be obtained by augmenting the more defective side of the lateral columellar surface.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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“…1,2 More patients are requesting small and well-defined noses regardless of the size of their natural nose. 3,4 If we do not consider the volume of the skin in nose reduction surgery, the patient may have unsatisfactory results. Although attempts to redrape excess skin by wide elevation, excess skin cannot be adequately controlled in some cases.…”

Section: Discussionmentioning

confidence: 99%

“…A self-portrait photograph or “selfie” is part of the age of social media also affects the approach to rhinoplasty 1,2. More patients are requesting small and well-defined noses regardless of the size of their natural nose 3,4. If we do not consider the volume of the skin in nose reduction surgery, the patient may have unsatisfactory results.…”

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confidence: 99%

Skin Tensioning Concept in Rhinoplasty Using a Semifixed Support Mechanism

Cabbarzade

2022

Journal of Craniofacial Surgery

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Background: As the skin on the nose shows outwardly, if we do not consider the volume of skin on the nose that is reduced, the results may be unsatisfactory. Although redraping the skin over a wide area may help, excess skin cannot be adequately controlled in some cases. Materials and Methods: During skin tensioning, a semifixed support mechanism was applied to keep the nasal tip stable and maintain its position while simultaneously allowing stretching and mobility in accordance with its normal function. The dorsal and infratip/columellar skin was stretched by using the support of the most projected part of the nasal tip. The skin was pulled posteriorly to obtain sufficient tensioning and excised at the columellar incision line. Results: Of the 94 patients who underwent skin tensioning, 82 were women, and 12 were men. The ages of the patients ranged from 18 to 59 years. Ninety-one patients were primary rhinoplasty patients, and 3 patients were secondary rhinoplasty patients. Skin tensioning was performed in 31 patients with overprojection, 24 patients with thick skin, 17 patients with low skin elasticity, 12 patients with excessive skin elasticity, 7 patients with an advanced long nose, and 3 patients with scar tissue due to previous surgery. No serious complications, either functional or aesthetic, related to skin tensioning was encountered. Conclusion: The skin tensioning technique using a semifixed support mechanism helped to achieve a required reduction with a sufficiently defined appearance of the nose in patients with difficult skin.

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Septal Bony Paste Graft: A Life-Saving Material in Rhinoplasty Camouflage

Cabbarzade

2021

Aesth Plast Surg

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A novel tip suture technique in rhinoplasty: lateral crus caudocephalic rotation suture

Cited by 4 publications

References 9 publications

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Skin Tensioning Concept in Rhinoplasty Using a Semifixed Support Mechanism

Septal Bony Paste Graft: A Life-Saving Material in Rhinoplasty Camouflage

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