The Role of Autologous Fat Grafting in Rhinoplasty

Saadoun, Rakan; Solari, Mario G.; Rubin, J. Peter

doi:10.1055/a-1942-2225

Cited by 4 publications

(2 citation statements)

References 74 publications

(264 reference statements)

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“…Autologous fat has a long history of use in NSR. Saadoun et al 15 report that advantages of autologous fat include low cost, biocompatibility, enhanced soft tissue quality of the recipient site, and the regenerative effect of fat grafts on surrounding tissue. However, fat graft resorption, which has been reported to be up to 55%, should be considered.…”

Section: Filler Choicementioning

confidence: 99%

Nonsurgical rhinoplasty

Hall

Kontis

2023

World j. otorhinolaryngol.-head neck surg.

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Interest in liquid, or nonsurgical rhinoplasty, has increased in demand as patients pursue less invasive techniques to achieve their aesthetic goals. Improved filler technology and refinement in injection techniques have made liquid rhinoplasty a reasonable choice for well‐selected patients in both primary and revision rhinoplasty cases. This article reviews nasal anatomy, injection techniques, selected applications, and safety measures pertinent to performing nonsurgical rhinoplasty.

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Section: Filler Choicementioning

confidence: 99%

Nonsurgical rhinoplasty

Hall

Kontis

2023

World j. otorhinolaryngol.-head neck surg.

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“…In recent years, fat grafting has been increasingly used in reconstructive, aesthetic, and regenerative medicine. The regenerative potential for the autologous applications of fatderived filler resides both in the stromal vascular fraction and in the cellular compartment of the adipose tissue [15], particularly in a specific mesenchymal stem cells (MSCs) population, the adipose-derived stem cells (ADSCs). Indeed, the regenerative potential of adipose tissue is well known.…”

Section: Introductionmentioning

confidence: 99%

Innovative Non-Surgical Plastic Technique for Saddle Nose Correction: A Study on 97 Patients

Ossanna,

Ghazanfar Tehrani,

Dallatana

et al. 2024

JCM

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Background: Non-surgical rhinoplasty is one of the best choices in mild cases of the saddle nose, and it represents a solution for the aesthetical amelioration of facial deformity; nevertheless, in most critical cases, surgical intervention is still required. This study reports the experience and results of a single facial plastic surgeon (M.G.) using a non-surgical technique for the correction of saddle noses in a large cohort of patients. Methods: This retrospective study assesses all patients injected from January 2017 through October 2023 in private clinics in Milan (Italy), London (UK), and Dubai (UAE). All patients were followed up for 12 months. The harvested adipose tissues were processed with different systems and with or without acoustic wave therapy (AWT). The extracted products have been characterized in terms of cellular yield and cell growth. Ninety-seven patients were injected with adipose-derived products or hyaluronic acid (HA). Patients were followed up for 12 months, and satisfaction data were analyzed. Results: The stem cells obtained from the patients who previously received AWT displayed a statistically higher cell growth ability in comparison with those of the cells derived from patients who did not receive AWT. The evolution of patient satisfaction during the time for each group of treatment was investigated, and cellular treatments show the best maintenance of patient satisfaction over time. Conclusions: Dermgraft and AWT approaches resulted in the highest patient satisfaction for the non-surgical correction of the saddle nose deformity.

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Classification of Microtia With Unusable Remnant Ear and Techniques in the First Stage of Two-Stage Auricular Reconstruction

He,

Wang,

Zhang

2024

Ann Plast Surg

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Background The remnant ear is a very important material in auricular reconstruction surgery; its dimension, position, and shape determine how it is used. However, the local conditions of microtia patients are complex and variable. Situations may be encountered where a series of abnormal remnant ears cannot be utilized in clinical practice. Currently, there are no literature that elaborates on this type of microtia and provides systematic treatment methods. The purpose of this article is to systematically classify them and optimize the two-stage method auricular reconstruction, to provide an effective surgical method for these patients. Methods Based on the size, shape, and relative position of the residual ears, the unusable remnant ears were classified into three types: tiny size, abnormal shape, and relative position anomaly (over 1-cm higher than the contralateral earlobe). Fifty-three microtia patients with unusable remnant ear (54 ears) who underwent two-stage auricular reconstruction from August 2020 to August 2023 were reviewed. All patients had experienced earlobe reconstruction by using autologous rib cartilage during the first stage of surgery. Aesthetic assessments were evaluated from the naturalness of the earlobe reconstructed with autologous rib cartilage and the connection with the overall framework. The data on any complications that occurred during the follow-up period and patient satisfaction were collected. Results Among all patients, 31 had tiny size, 14 had abnormal shape, and 8 had excessively high positions. Patients were followed up for an average period of 9.2 months (6 to 12 months). No complex complications such as infection, skin necrosis, or cartilage exposure occurred. Fifty patients (94.3%) achieved excellent or good aesthetic outcomes. Fifty-one patients (96.2%) were satisfied with the reconstruction outcomes. Conclusions An accurate assessment of the residual ear preoperatively is essential. Reconstructing and splicing the earlobe with autologous rib cartilage in cases where the residual ear cannot be utilized compensate for the defect that the soft tissue cannot provide the earlobe flap. This is an effective surgical method for the ear reconstruction in such patients.

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The Role of Autologous Fat Grafting in Rhinoplasty

Cited by 4 publications

References 74 publications

Nonsurgical rhinoplasty

Nonsurgical rhinoplasty

Innovative Non-Surgical Plastic Technique for Saddle Nose Correction: A Study on 97 Patients

Classification of Microtia With Unusable Remnant Ear and Techniques in the First Stage of Two-Stage Auricular Reconstruction

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