External Splinting Is Not Mandatory After All Rhinoplasties

Cabbarzade, Cavid; Yücel, Ömer Taşkın; Sözen, Tevfik; Özgen, Burçe

doi:10.1097/sap.0000000000002710

Cited by 5 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Modern rhinoplasty has undergone many changes from the time of its deemed father, Jacques Joseph, to the present day. 17 Today, the expectations of rhinoplasty patients are continuously increasing with the use of selfies in social media. In this sense, postoperative nostril and columellar symmetry are important for the reputations of rhinoplasty surgeons.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Modern rhinoplasty has undergone many changes from the time of its deemed father, Jacques Joseph, to the present day 17 . Today, the expectations of rhinoplasty patients are continuously increasing with the use of selfies in social media.…”

Section: Discussionmentioning

confidence: 99%

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Dieffenbach9 described 2 parallel l-cm-wide bilateral excisions that diminished the size of a very broad nose. Although controversial, according to many, Jacques Joseph, who is deemed the father of modern rhinoplasty, reported 43 patients whose nose shape improved only by skin excision 9,12–14. Peterson11 described the combination of intranasal rhinoplasty with flap lift of the nasal tip via nasal dorsal skin excision for a long, hooked nose in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Skin Tensioning Concept in Rhinoplasty Using a Semifixed Support Mechanism

Cabbarzade

2022

Journal of Craniofacial Surgery

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…2 In an RCT of 40 patients randomized to receive either nasal splinting or only surgical taping postoperatively, the levels of periorbital edema and ecchymosis were significantly lower in the patients without splints (P < 0.05 for each). 12 The other three studies reviewed by Khan et al were retrospective case series of rhinoplasty patients who did not receive postoperative splints. [13][14][15] Across 2385 total patients, the collective results demonstrated that splinting was not necessary to achieve desirable aesthetic outcomes.…”

Section: Uses In Facial Surgerymentioning

confidence: 99%

The Use of Postoperative Compression Garments in Plastic Surgery—Necessary or Not? A Practical Review

Ormseth,

Livermore,

Schoenbrunner

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary: This practical review critically evaluates the evidence behind the widespread use of postoperative compression therapy intended to improve surgical outcomes, such as reduced edema, ecchymosis, pain, and seroma formation. A literature search of PubMed was conducted to identify relevant studies concerning the use of compression garments after aesthetic surgery, including rhinoplasty, facelift, neck lift, mammoplasty, abdominoplasty, limb contouring, and others. Additionally, reconstructive and therapeutic procedures closely related in anatomy or technique to these cosmetic operations, such as breast reconstruction, mastectomy, and hernia repair, were also considered to provide further perspective. After study extraction, the volume, quality, and agreement of the evidence found was highly heterogenous depending on the context of specific operations and outcomes evaluated. The most well-supported indications for the use of postoperative compression garments are to mitigate edema and ecchymosis after rhinoplasty and to reduce postoperative pain after breast and abdominal procedures, although no effect on seroma rate was demonstrated. Any potential benefit must be balanced against the associated costs and possible complications of compression, including patient discomfort, increased venous stasis, and skin defects. Thus, we encourage surgeons to critically reassess their use of compression garments. In many settings, such as brachioplasty, there is limited high-quality evidence to inform best practice, and we urge the community to continue researching this important topic so that more definitive and comprehensive guidelines may be established.

show abstract

External Splinting Is Not Mandatory After All Rhinoplasties

Cited by 5 publications

References 14 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

The Use of Postoperative Compression Garments in Plastic Surgery—Necessary or Not? A Practical Review

Contact Info

Product

Resources

About