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

Cabbarzade, Cavid

doi:10.1007/s00266-021-02560-5

Cited by 5 publications

(10 citation statements)

References 17 publications

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“…Preoperative columellar asymmetry may persist in some patients because of insufficient cartilage or insufficient surgeon experience. 2,15 Especially in linearly deviated noses, the columella, which sometimes seems normal before surgery, can become asymmetrical after the surgeon's maneuvers to correct the frontal deviation. In such situations, it may be difficult for the surgeon to explain the columellar asymmetry that developed after the surgery to the patient.…”

Section: Discussionmentioning

confidence: 99%

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%

Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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“…Key Words: large nose, long nose, rhinoplasty, skin tensioning, thick skin 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.…”

Section: Discussionmentioning

confidence: 99%

“…14 In addition, as patients' expectations increase due to selfies are taken in the social media age, the demand for rhinoplasty surgeons who can manage and improve the results of rhinoplasty in patients with difficult skin on the nose is increasing. 2 As age increases, the quality of the skin on the face and nose changes. 16 Intrinsic cellular changes and prolonged exposure to the sun reduce skin elasticity.…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, the rates of rhinoplasty in elderly patients and secondary rhinoplasty patients and the deterioration of patients’ skin quality due to nutrition and environmental factors have increased 14. In addition, as patients’ expectations increase due to selfies are taken in the social media age, the demand for rhinoplasty surgeons who can manage and improve the results of rhinoplasty in patients with difficult skin on the nose is increasing 2…”

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.…”

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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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SELF: A Novel Algorithm for Deciding the Position of Lateral Osteotomies in Rhinoplasty Patients with Minimal External Deviation

Cabbarzade

2022

Aesth Plast Surg

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

Cited by 5 publications

References 17 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

SELF: A Novel Algorithm for Deciding the Position of Lateral Osteotomies in Rhinoplasty Patients with Minimal External Deviation

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