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Nonsurgical techniques improve rhinoplasty


New Orleans — Nonsurgical methods for rhinoplasty may offer effective alternatives for nose reshaping, according to findings presented at Plastic Surgery 2012.

Surgeons with ONEP Plastic Surgery Science Institute, Istanbul, and Baylor College of Medicine, Houston, presented their respective findings at the American Society of Plastic Surgeons Annual Meeting.

One surgeon described injecting diced cartilage into a prepared pocket in the dorsum, columella, or tip of the nose in 621 patients who were followed for one to five years, Medscape Today reports. The researcher noted “excellent” results, and that only 29 patients experienced partial resorption, which was corrected with a second small injection.

The second presentation demonstrated the use of fat grafting alone or in combination with dissection. The surgeon reported on 59 patients who underwent primary rhinoplasty for volume restoration and contour adjustment using autologous fat grafting, according to Medscape Today. The procedure was performed using fat grafting alone in 12 patients. The remaining 47 patients had fat grafting in addition to cartilage grafting and other steps.

Surgeons independently evaluated and scored photos before and eight weeks after the procedures. Results indicated 36 patients had significant improvement (grade 4), 18 had minimal improvement (grade 3), four had no change (grade 2), and one had a negative result (grade 1), Medscape Today reports.

Fat grafting was more effective in certain sites and when the defect was more planar, the researcher observed.

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