Facial Plast Surg [JOURNAL]
Sun
200 papers
Management of the Heavy Neck in the Ethnic Patient.
Cakmak O, Kavak OT
Facial Plast Surg · 2026 May · PMID 42086192 · Publisher ↗
AIM AND BACKGROUND: Facial and cervical aging is a multilayered process influenced by skeletal support, soft-tissue volume and position, ligamentous integrity, and skin quality. Ancestry-associated anatomic variation may...
AIM AND BACKGROUND: Facial and cervical aging is a multilayered process influenced by skeletal support, soft-tissue volume and position, ligamentous integrity, and skin quality. Ancestry-associated anatomic variation may affect clinical presentation, but surgical planning must remain anatomy-based rather than race-defined. This review outlines contemporary strategies for management of the heavy neck in ethnically diverse patients. ANATOMY: In many ethnic patients, neck aging is driven predominantly by big structural changes rather than early cutaneous laxity. Thicker dermis, heavier soft tissues, relative chin retrusion, and preserved dermal elasticity predispose to progressive cervicomental obtuseness. Patients presenting with obtuse cervicomental contours related to deep cervical structures benefit most from anatomy-directed intervention rather than superficial fat reduction alone. TECHNIQUES: Management frequently includes submental deep neck contouring with selective reduction of subplatysmal fat, anterior digastric bellies, and submandibular glands, combined with platysmaplasty, with or without conservative subcutaneous fat removal. Optimal outcomes often require integration with facial rejuvenation, incorporating extended facelift techniques that emphasize comprehensive retaining-ligament release rather than traditional superficial musculoaponeurotic system lift procedures. CONCLUSION AND CLINICAL RELEVANCE: Surgical strategy should be guided by individual anatomy rather than ethnoracial categorization. Anatomy-based, patient-centered planning enables natural, balanced, and durable cervicofacial outcomes while preserving patient-specific aesthetic identity.
Micro Botulinum Toxin Techniques.
Lam S
Facial Plast Surg · 2026 May · PMID 42086191 · Publisher ↗
AIM AND BACKGROUND: To introduce micro botulinum toxin therapy (MBT) for the treatment of aging skin, scarring, and other skin therapies. HISTORICAL ASPECTS: Mesotherapy involved the injection of microdoses of vitamins a...
AIM AND BACKGROUND: To introduce micro botulinum toxin therapy (MBT) for the treatment of aging skin, scarring, and other skin therapies. HISTORICAL ASPECTS: Mesotherapy involved the injection of microdoses of vitamins and nutrients, and serves as the backdrop for this current intervention. ANATOMY: MBT is advocated to work on improving both epidermal and dermal damage through cellular repair induced by dilute botulinum toxin (BT). TECHNOLOGY: The technique does not require any sophisticated technology to perform other than a syringe loaded with dilute BT. PATIENT SELECTION: Patients of all Fitzpatricks and ages are eligible for therapy without risk other than rare, temporary paresis. TECHNIQUES: The technique involves injection of hyperdilute BT intradermally across the entire expanse of the face, neck, chest, etc., to effect desired skin changes. POSTOPERATIVE CARE: None. CURRENT AND FUTURE DEVELOPMENT: Other ingredients could be added to further enhance the efficacy of MBT. CONCLUSION AND CLINICAL RELEVANCE: MBT offers unparalleled safety and efficacy in all skin types for a variety of skin improvements, including active acne, acne scarring, pores, texture, and generalized cutaneous sun damage and aging.
Evaluating the Role of the Self-Assembling Topical Haemostat PuraBond in Periorbital Ecchymosis Associated with Osteotomies in Septorhinoplasty.
Rafay A, Beegun I, Joseph J
Facial Plast Surg · 2026 May · PMID 42057411 · Publisher ↗
Septorhinoplasty for both functional and cosmetic purposes is a widely performed operation. As with any surgical intervention, there are inherent risks that include bleeding manifesting as periorbital ecchymosis (PE). Pu...
Septorhinoplasty for both functional and cosmetic purposes is a widely performed operation. As with any surgical intervention, there are inherent risks that include bleeding manifesting as periorbital ecchymosis (PE). PuraBond is a novel, self-assembling, viscous biomaterial solution that transforms upon contact with biological fluids into a transparent, three-dimensional hydrogel matrix, effectively promoting localized haemostasis. This study evaluated the utility of PuraBond in reducing the degree of PE associated with septorhinoplasty. A review of 71 consecutive primary septorhinoplasty cases performed by a single senior surgeon was undertaken. The degree of PE was compared to consecutive cases when PuraBond was not available. The use of PuraBond did not demonstrate a statistically significant impact on the degree of PE following septorhinoplasty (mean PE score for control 4.17 versus 3.97 for PuraBond group, Mann-Whitney test, = 0.55). This study is the first to describe the use of PuraBond within the context of osteotomies in septorhinoplasty. The use of PuraBond did not improve the degree of PE associated with septorhinoplasty.
Periocular Rejuvenation with PRF Gel.
Rahbari S, Ohandjanians L, Cong A … +4 more , Oca M, Kochhar A, Nassimizadeh AK, Karimi K
Facial Plast Surg · 2026 Apr · PMID 41991137 · Publisher ↗
AIM AND BACKGROUND: Age-related changes in the periorbital region contribute to tear trough deepening and infraorbital hollowing, which create a fatigued appearance. HISTORICAL ASPECT: Platelet concentrates have been use...
AIM AND BACKGROUND: Age-related changes in the periorbital region contribute to tear trough deepening and infraorbital hollowing, which create a fatigued appearance. HISTORICAL ASPECT: Platelet concentrates have been used for many years for their regenerative capabilities. Platelet-rich fibrin (PRF) Gel has recently been introduced as a natural alternative to hyaluronic acid (HA) fillers for periorbital rejuvenation. ANATOMY: The main cause for periorbital hollowness is volume loss in the fat pads, most specifically the sub-orbicularis oculi fat (SOOF). PATIENT SELECTION: PRF Gel is well-suited for patients seeking a conservative approach, especially those with prior HA-related complications or compromised lymphatic drainage. TECHNIQUES: PRF Gel is created by combining denatured albumin (2,600 rpm, 7 minutes) with liquid PRF (1,100 rpm, 5 minutes) in a 3.5:1.5 cc ratio to form an injectable gel. POSTOPERATIVE CARE: Treatment requires minimal downtime and fewer restrictions compared to HA fillers. CURRENT AND FUTURE DEVELOPMENT: Prospective observations show progressive volume improvement with repeated treatments. Refinement of centrifugation and protocols may further enhance clinical outcomes. CONCLUSION AND CLINICAL RELEVANCE: PRF Gel offers a new and autologous treatment to patients who are seeking a more conservative and natural approach to under-eye rejuvenation.
Use of Ultrasound in Face and Neck Rejuvenation.
Liao D, Prasad A, Bloom JD
Facial Plast Surg · 2026 Apr · PMID 41985490 · Publisher ↗
AIM AND BACKGROUND: To review the current state of ultrasound energy-based devices and their role in facial and neck rejuvenation. HISTORICAL ASPECTS: High-frequency ultrasound (HIFU) paved the way for the micro-focused...
AIM AND BACKGROUND: To review the current state of ultrasound energy-based devices and their role in facial and neck rejuvenation. HISTORICAL ASPECTS: High-frequency ultrasound (HIFU) paved the way for the micro-focused and parallel beam ultrasound technology in aesthetics. ANATOMY: Facial and cervical aging reflect multilayered structural changes, as well as reduced collagen production and increased collagen breakdown at the histologic level, resulting in rhytids and skin laxity. TECHNOLOGY: Micro-focused ultrasound with visualization (MFU-V) is adapted from HIFU, using significantly less ultrasound energy and visualization to precisely target the deep dermis and superficial musculoaponeurotic system (SMAS) at depths ranging from 1.5 to 4.5 mm; synchronous ultrasound parallel beam (SUPERB) technology uses parallel transducers to deliver energy at a precise depth of 1.5 mm to target the mid-dermis. PATIENT SELECTION: Ultrasonic facial rejuvenation is ideal for those with mild to moderate skin laxity who desire incremental tightening and textural improvement without surgery. TECHNIQUES: MFU-V can be performed at different tissue depths based on the transducer tip, with various combination protocols described; SUPERB technology delivers energy at a fixed depth. POSTOPERATIVE CARE: Self-limited erythema and edema, sun protection. CURRENT AND FUTURE DEVELOPMENT: The intersection of ultrasonic devices and regenerative medicine is promising. CONCLUSION AND CLINICAL RELEVANCE: MFU-V and SUPERB are ideal noninvasive options for patients with mild to moderate skin laxity.
New Technology in Skin and Facial Analysis: Elevating the Clinical Encounter for Patients and Providers.
Judge NT
Facial Plast Surg · 2026 May · PMID 41974188 · Publisher ↗
AIM AND BACKGROUND: Aesthetic medicine has expanded rapidly, yet the clinical infrastructure supporting the patient encounter has not kept pace with patient sophistication. Today's aesthetic patient is highly educated, v...
AIM AND BACKGROUND: Aesthetic medicine has expanded rapidly, yet the clinical infrastructure supporting the patient encounter has not kept pace with patient sophistication. Today's aesthetic patient is highly educated, visually literate, and accustomed to data-driven decision-making. A measurable gap exists between patient expectations and what the standard clinical encounter consistently delivers. TECHNOLOGY: This review examines emerging technologies in skin and facial analysis and presents the evidence-based case for their adoption across the full care continuum. Technologies are organized by clinical function: in-office multispectral skin analysis systems, three-dimensional (3D) volumetric imaging and simulation platforms, AI facial scoring and proportion analysis tools, and advanced tissue characterization modalities. PATIENT SELECTION: A three-phase framework-preconsultation, consultation, and posttreatment-structures the case for adoption. Patient selection considerations, informed consent implications, and the appropriate boundaries of AI-assisted analysis versus clinical diagnostic judgment are addressed. CONCLUSION AND CLINICAL RELEVANCE: Technology-augmented encounters produce better-informed patients, stronger clinical trust, and more defensible outcomes. Technology does not replace the surgeon-patient relationship-it amplifies it.
Augmentation Rhinoplasty in Asian Patients.
Yoo SH, Jang YJ
Facial Plast Surg · 2026 Apr · PMID 41962580 · Publisher ↗
AIM AND BACKGROUND: Asian rhinoplasty presents unique challenges due to distinct anatomical features, including a low nasal dorsum, weak cartilaginous framework, and thick soft tissue envelope. This article examines cont...
AIM AND BACKGROUND: Asian rhinoplasty presents unique challenges due to distinct anatomical features, including a low nasal dorsum, weak cartilaginous framework, and thick soft tissue envelope. This article examines contemporary surgical approaches for dorsal and tip augmentation, focusing on methods designed to produce both aesthetically satisfactory and long-lasting outcomes. TECHNIQUES: Effective management necessitates a comprehensive approach that addresses both the nasal dorsum and tip. For the nasal tip, where intrinsic support is frequently lacking, septal extension grafts are considered the primary method for achieving stable structural reinforcement, as well as optimal projection and rotation control. Further refinement may be accomplished using tip-onlay or shield grafting techniques. In dorsal augmentation, the choice of material-encompassing alloplastic implants such as silicone and expanded polytetrafluoroethylene, as well as autologous options like monoblock or diced costal cartilage-is determined according to the patient's unique anatomical characteristics and individual preferences. CONCLUSION AND CLINICAL RELEVANCE: Achieving favorable results in Asian rhinoplasty requires an individualized surgical approach that carefully integrates aesthetic objectives with the need for structural support. A thorough understanding of the anatomical characteristics and limitations of the Asian nose, alongside proficiency in employing reliable structural grafts for tip refinement and selecting safe augmentation materials for the nasal dorsum, is critical to optimizing long-term patient outcomes.
Tip Rhinoplasty: Resection, Grafts, or Sutures.
Sturm A, Farrior EH
Facial Plast Surg · 2026 Jun · PMID 41941885 · Publisher ↗
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Septorhinoplasty in Congenital Craniofacial Anomalies: A Narrative Review of Contemporary Surgical Approaches.
Jama GM, Acharya V, Navaratnam A … +3 more , Lloyd TW, Randhawa PS, Andrews PJ
Facial Plast Surg · 2026 Apr · PMID 41941884 · Publisher ↗
Congenital craniofacial anomalies present complex reconstructive challenges impacting nasal function, facial symmetry, and psychosocial well-being. Effective restoration requires a multidisciplinary, patient-centered app...
Congenital craniofacial anomalies present complex reconstructive challenges impacting nasal function, facial symmetry, and psychosocial well-being. Effective restoration requires a multidisciplinary, patient-centered approach that integrates advances in imaging, surgical planning, and reconstructive techniques.This narrative review summarizes contemporary surgical strategies for nasal reconstruction in patients with cleft lip/palate and syndromic craniosynostosis.Relevant literature was reviewed alongside our own institutional experience. Focus was placed on preoperative assessment, multidisciplinary collaboration, operative timing, and technical innovations.Long-term outcomes demonstrate sustained improvements in nasal function, facial symmetry, and emotional well-being when care is provided by experienced multidisciplinary teams in dedicated units. Early psychological assessment and ongoing support are pivotal for optimizing patient outcomes.Multidisciplinary, long-term care integrating advances in imaging, reconstructive techniques, and psychosocial support improves functional, aesthetic, and emotional outcomes in nasal reconstruction in this complex group of patients.
Postoperative Care to Ensure Optimal Tip Rhinoplasty Results.
Hancock M
Facial Plast Surg · 2026 Jun · PMID 41941883 · Publisher ↗
AIMS AND BACKGROUNDS: Postoperative care in rhinoplasty is a critical determinant of surgical success, complication prevention, and patient satisfaction. Despite advances in operative technique, variability in postoperat...
AIMS AND BACKGROUNDS: Postoperative care in rhinoplasty is a critical determinant of surgical success, complication prevention, and patient satisfaction. Despite advances in operative technique, variability in postoperative management remains a significant contributor to suboptimal outcomes and revision surgery. This chapter aims to define the essential components of effective postoperative care and emphasize the role of structured systems in protecting surgical results and guiding patient recovery. CURRENT AND FUTURE DEVELOPMENT: Key elements of postoperative management are reviewed, including standardized follow-up schedules, pain control with opioid-sparing strategies, antibiotic stewardship, corticosteroid use, saline irrigations, nasal support techniques, activity modification, and patient education. Emerging evidence regarding non-steroidal anti-inflammatory drugs, isotretinoin use, topical antibiotics, and adjunctive therapies is discussed. Special considerations for revision rhinoplasty, complex grafting, and patients with comorbid conditions such as obstructive sleep apnea are highlighted. The importance of consistent documentation, photography, and communication is emphasized to support both clinical decision-making and patient reassurance. CONCLUSION AND CLINICAL RELEVANCE: There is no universal postoperative pathway in rhinoplasty; however, comprehensive preoperative preparation and structured postoperative systems consistently improve outcomes. Surgeons who prioritize postoperative care as an extension of the operation itself are better positioned to minimize complications, manage expectations, and achieve durable, high-quality results.
The Slit Septal Extension Graft: A Technical Modification for Midline Fixation in Structured Rhinoplasty.
Rodrigues JL, Santos VC, Porpino R … +4 more , Neves JCM, Viana RWM, Ciancio IH, Caropreso CA
Facial Plast Surg · 2026 Apr · PMID 41887610 · Publisher ↗
Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The...
Septal extension grafts (SEG) are widely used to control nasal tip projection and rotation. However, traditional side-to-side fixation may increase graft bulk within the nasal cavity and carries a risk of deviation. The slit extension graft is a modification designed to centralize fixation within the caudal septum while reducing intranasal volume and improving mechanical stability.To describe the slit extension graft technique and evaluate its structural and angular outcomes in primary rhinoplasty.A retrospective case series of six patients using the PROCESS guideline.The patients underwent primary rhinoplasty with slit SEG fixation between July 2017 and May 2022. Preoperative and 12-month postoperative nasolabial angles were measured using standardized true lateral photographs aligned to the Frankfort horizontal plane. A paired -test was used for statistical comparison.The slit extension graft provides centralized fixation with measurable angular control and stable outcomes at 1 year. Larger prospective studies are warranted to confirm reproducibility and functional implications.
The Various Shades of Hybridism in Rhinoplasty: Variations on Dorsal Preservation and Presentation of a Cartilaginous Pushdown Technique.
Anastasopoulos G, Grigoriadis G, Karela M … +2 more , Michailidou A, Troupis T
Facial Plast Surg · 2026 Apr · PMID 41881415 · Publisher ↗
INTRODUCTION: The growing interest in preservation techniques gave rise to many variations classified under the term hybrid rhinoplasty. OBJECTIVES AND HYPOTHESES: The objective of this study is to specify the various me...
INTRODUCTION: The growing interest in preservation techniques gave rise to many variations classified under the term hybrid rhinoplasty. OBJECTIVES AND HYPOTHESES: The objective of this study is to specify the various meanings of hybridism in rhinoplasty tracing the term back in time and to present our contemporary practice in the management of the middle vault. STUDY DESIGN: Review of the medical literature about hybrid rhinoplasty and retrospective cohort study of patients submitted to hump reduction with cartilaginous preservation and pushdown. METHODS: A total of 75 patients submitted to primary rhinoplasty consisting in hump reduction with complete removal of the osseous hump and cartilaginous pushdown and evaluated for functionality and aesthetic satisfaction. RESULTS: Cartilaginous pushdown results in great functional and aesthetic success with low rates of complications or recurrences. CONCLUSIONS: Studying the literature, we recognized three distinct entities of hybridism in rhinoplasty. One of these is the variations on dorsal preservation techniques. Cartilaginous pushdown is a true hybrid technique standing between structural hump removal and complete dorsal preservation.
Opportunities for Environmental and Public Health Stewardship in the Operating Room.
Sclafani MS, Mastin D, Cole A
Facial Plast Surg · 2026 Jun · PMID 41875937 · Publisher ↗
INTRODUCTION: Understanding the environmental effects of surgery can help develop environmentally sound practices. OBJECTIVES & HYPOTHESES: Examine the environmental impact of performing septorhinoplasty. STUDY DESIGN: C...
INTRODUCTION: Understanding the environmental effects of surgery can help develop environmentally sound practices. OBJECTIVES & HYPOTHESES: Examine the environmental impact of performing septorhinoplasty. STUDY DESIGN: Case study. METHODS: A primary septorhinoplasty was selected. Materials, medications, devices, and energy used were identified, and medical waste and torn plastics were characterized and measured. Global warming potential (GWP) and microplastics generated were calculated using published conversion rates. RESULTS: GWP of this septorhinoplasty was 192.3 kg CO equivalent (CO2e). The greatest contributor to GWP was the use of disposable supplies (160.95 kg CO2e), with smaller contributions from the sterilization of surgical equipment, anesthetic gases, environmental HVAC energy, surgical instrument manufacturing, and incineration of regulated medical waste. Microplastic production ranged between 97,637 and 530,638 microplastics. CONCLUSIONS: The environmental cost of septorhinoplasty was dominated by disposable items, contributing to GWP and microplastic production. Through awareness of the environmental impact of their choices, surgeons can develop mitigation strategies to minimize their effect.
John Putnam Batchelder, Jonathan Mason Warren, and the Contested History of American Nasal Reconstruction.
Cock E
Facial Plast Surg · 2026 Mar · PMID 41856494 · Publisher ↗
Jonathan Mason Warren has been incorrectly credited as the first surgeon to perform a skinflap nasal reconstruction in America, because he was the first to publish about the operation. This has caused an unjustified over...
Jonathan Mason Warren has been incorrectly credited as the first surgeon to perform a skinflap nasal reconstruction in America, because he was the first to publish about the operation. This has caused an unjustified overlooking of the actual achiever of this distinction: John Putnam Batchelder.This study assesses Warren's and Batchelder's competing claims, and their different reasons for promoting the procedure or not, and demonstrates their shared reliance on international progress.It is based on a systematic review of historical materials related to the two surgeons. It places nasal reconstruction in its international historical context as a controversial procedure to explain the actions and knowledge of the surgeons and their patients.The study uses archival research in manuscript resources, searchable digitized newspapers, and historical printed texts.These findings support Batchelder's claim.In declining to publish, Batchelder left the stage open for Warren to claim pioneering credit, which must be a warning to any modern surgical innovators.
Peptides in Facial Plastic Surgery: Emerging Applications in Aesthetics and Rejuvenation.
Shomorony A, Denton AJ
Facial Plast Surg · 2026 Jun · PMID 41839222 · Publisher ↗
Bioactive peptides have become increasingly common ingredients in skincare products and procedural adjuncts in aesthetic practices. Modeled after naturally occurring matrikines, these short amino acid chains are designed...
Bioactive peptides have become increasingly common ingredients in skincare products and procedural adjuncts in aesthetic practices. Modeled after naturally occurring matrikines, these short amino acid chains are designed to influence the extracellular matrix, cellular signaling, and skin repair. Peptides are commonly classified as signal peptides, carrier peptides, and neurotransmitter-inhibiting "botox-like" peptides based on their proposed mechanisms of action. While many of these compounds are marketed for wrinkle reduction, collagen stimulation, and improved skin quality, most supporting evidence is derived from in vitro and ex vivo studies rather than randomized clinical trials. These products are widely available with limited regulatory oversight and are increasingly incorporated into microneedling treatments, topical regimens, and postoperative skincare. As patient interest grows, facial plastic surgeons are more frequently asked about the role, safety, and efficacy of peptide-based products. This article presents current evidence and proposed mechanisms to help guide informed discussions and clinical decision-making in facial plastic surgery practice.
The Value of Computational Fluid Dynamics in Crooked Nose.
Arslan FM, Berber V, Apaydin MB … +5 more , Isler E, Ceylan N, Gode S, Gunerhan H, Apaydin F
Facial Plast Surg · 2026 Mar · PMID 41806852 · Publisher ↗
INTRODUCTION: Nasal obstruction due to septal deviation and a crooked nose affects breathing and quality of life. Objective assessment of surgical outcomes remains essential. OBJECTIVES AND HYPOTHESES: This study aimed t...
INTRODUCTION: Nasal obstruction due to septal deviation and a crooked nose affects breathing and quality of life. Objective assessment of surgical outcomes remains essential. OBJECTIVES AND HYPOTHESES: This study aimed to evaluate functional and aerodynamic improvements following surgery using subjective and objective tools. Primary outcomes included changes in the Turkish validated Standardized Cosmesis and Health Nasal Outcomes Survey (T-SCHNOS) scores, nasal resistance, and airflow patterns. STUDY DESIGN: A retrospective cohort study was conducted following the STROBE guidelines. METHODS: Eight patients were assessed pre- and postoperatively using T-SCHNOS, 4-phase rhinomanometry (4-PR), and computational fluid dynamics (CFD). Five were tested under decongested and three were tested under nondecongested conditions. Four healthy individuals served as controls. CFD models were generated from DICOM data. CONCLUSION: Significant improvements were seen in T-SCHNOS, RMOS, Qdiff, and Vmax ( < 0.05). Postoperative values approached control levels. Moderate correlation was observed between Qdiff and 4-PR ( = 0.660), but other CFD-clinical parameter correlations were weak. Surgery significantly improves airflow metrics, although subjective-objective correlations vary.
Dorsal Flattening with Periosteal Tensioning: Management of the Central Keystone Blocking Point in Dorsal Preservation Rhinoplasty: A Clinical and Anatomic Study.
Kovacevic M, Veit J, Goksel A … +4 more , Saban Y, Patron V, Davis RE, Zweyer I
Facial Plast Surg · 2026 Mar · PMID 41794044 · Publisher ↗
INTRODUCTION: The most common unwanted outcomes in preservation rhinoplasty continue to be the residual and the recurrent hump. OBJECTIVE AND HYPOTHESES: We propose a new solution, contributing to preexisting techniques,...
INTRODUCTION: The most common unwanted outcomes in preservation rhinoplasty continue to be the residual and the recurrent hump. OBJECTIVE AND HYPOTHESES: We propose a new solution, contributing to preexisting techniques, to overcome this obstacle. STUDY DESIGN: Our study shows evidence from cadaveric dissection and in 204 clinical cases since 2020, with a median follow-up of 12 months. METHODS: Careful dissection of not only the lateral, but also the central keystone area, enables a sliding motion of the kyphotic cartilaginous hump under the bony vault and releases the recoil forces causing the spring effect. Further flattening and stabilization of the straightened dorsum is achieved by tensioning the connection between bone and cartilage with a periosteal flap. RESULTS: The postoperative results were stable, and no hump recurrence was observed. CONCLUSION: With this method, a broader spectrum of deformities could be treated with preservation rhinoplasty.
Tip Suture Techniques.
Mehta U, Greenberg C, Hall D
Facial Plast Surg · 2026 Jun · PMID 41791415 · Publisher ↗
INTRODUCTION: The nasal tip is a complex structure that depends on the interplay between the lower lateral cartilages, soft tissue, and septal support. An ideal tip reflects balanced projection, rotation, and definition...
INTRODUCTION: The nasal tip is a complex structure that depends on the interplay between the lower lateral cartilages, soft tissue, and septal support. An ideal tip reflects balanced projection, rotation, and definition while maintaining airway integrity and structural stability. Key aesthetic parameters-including tip angle, columellar-infratip lobule relationship, domal divergence, and lateral crural orientation-provide a framework for evaluating tip shape. A thorough understanding of nasal tip deformities is important for avoidance and correction. OBJECTIVES AND HYPOTHESES: To describe commonly used tip suture techniques. STUDY DESIGN: Descriptive, non-comparative surgical technique review. METHODS: Tip suture literature review, and description of Umang Mehta's preferred techniques. CONCLUSION: Modern tip rhinoplasty approaches emphasize cartilage preservation through suture-based techniques, which allow for controlled, reversible modification of tip definition, projection, and rotation while minimizing the sequelae of aggressive resection. The discussed techniques enable surgeons to achieve stable aesthetic and functional outcomes in primary and revision rhinoplasty.
Three-Dimensional Quantification of Nasal Septum Components: A CT-Based Analysis.
Atabey Topal PÖ, Apaydın F
Facial Plast Surg · 2026 Mar · PMID 41791414 · Publisher ↗
INTRODUCTION: The nasal septum is a key structure influencing both nasal airflow and aesthetic balance. Detailed anatomical understanding is essential for optimal septorhinoplasty planning. OBJECTIVES AND HYPOTHESES: Thi...
INTRODUCTION: The nasal septum is a key structure influencing both nasal airflow and aesthetic balance. Detailed anatomical understanding is essential for optimal septorhinoplasty planning. OBJECTIVES AND HYPOTHESES: This study aims to provide precise morphometric data on key septal structures and to explore correlations between anatomical landmarks relevant to surgery. STUDY DESIGN: Retrospective observational study (STROBE-compliant) of adult patients undergoing primary septorhinoplasty. METHODS: Preoperative CT scans of 50 Turkish patients were analyzed. Volume, length, and height of the septal cartilage, vomer, and perpendicular plate of the ethmoid were measured, along with caudal septum length. IRB approval was obtained. No AI was used during analysis. RESULTS: Sex-based differences in septal cartilage volume were identified. Caudal septum length positively correlated with cartilage-PPE junction length. CONCLUSION: These anatomical measurements may guide graft design and preoperative strategy, contributing to individualized surgical planning.
Management of Persistent Coronavirus Disease 2019-Related Olfactory Dysfunction in the United Kingdom: A National Survey of Rhinology Practice, Prognosis and Treatments.
Rom D, Pendolino AL, Acharya V … +1 more , Andrews PJ
Facial Plast Surg · 2026 Mar · PMID 41760134 · Publisher ↗
The UK management of persistent coronavirus disease 2019 olfactory dysfunction (C19OD) remains unclear. The magnitude of the problem is also unknown.The objective of this study is to quantify the prevalence of persistent...
The UK management of persistent coronavirus disease 2019 olfactory dysfunction (C19OD) remains unclear. The magnitude of the problem is also unknown.The objective of this study is to quantify the prevalence of persistent C19OD, evaluate management practices, and track patient outcomes from referral to discharge.A nationwide online survey of UK rhinology clinicians examined clinical assessment, treatment, follow-up, referral patterns, and prevalence. Responses were analyzed descriptively.Sixty-eight percent of clinicians responded. Most patients with persistent C19OD were managed in general Otolaryngology clinics (60.9%), with limited access to specialist smell services (8.7%). Formal olfactory testing was uncommon (15.8%) and nearly half of clinicians performed no structured assessment. Smell training and intranasal corticosteroids were the most frequent treatments. A total of 62% of treated patients continued to have persistent C19OD and were discharged home without a further treatment plan.UK management of persistent C19OD remains inconsistent with only 15.8% being formally tested for their smell loss. A total of 62% of treated patients remained symptomatic with persistent C19OD and subsequently discharged home without a treatment plan. Improved access to standardized tertiary referral centres is recommended enabling better access to novel treatments.
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