Related Experiment Video
Updated: Aug 2, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Rhinoplasty and the nasal SMAS augmentation graft: advantages and indications
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Miami School of Medicine, Miami, FL 33136, USA.
Archives of Facial Plastic Surgery
|March 17, 2004
Summary
The nasal superficial musculoaponeurotic system (SMAS) effectively improves nasal tip definition and provides stable volume augmentation in thick-skinned rhinoplasty patients. This autologous graft material shows favorable results with no observed donor site complications.
Area of Science:
- Plastic Surgery
- Facial Plastic Surgery
- Rhinoplasty Techniques
Background:
- Thick-skinned patients present unique challenges in rhinoplasty, particularly regarding nasal tip definition.
- Autologous grafts are crucial for achieving satisfactory aesthetic outcomes in complex rhinoplasty cases.
Purpose of the Study:
- To evaluate the efficacy of the nasal superficial musculoaponeurotic system (SMAS) as an autologous graft material for cosmetic rhinoplasty.
- To assess the long-term results of nasal SMAS grafts in thick-skinned patients undergoing rhinoplasty.
Main Methods:
- Retrospective review of patients undergoing cosmetic rhinoplasty with nasal SMAS grafts.
- En bloc excision of nasal SMAS for augmentation of the nasal tip, radix, sidewall, and dorsum.
- Long-term follow-up (1-3 years) to assess graft survival and aesthetic outcomes.
Main Results:
- Uniformly favorable improvements in nasal tip definition were observed in thick-skinned patients.
- Stable volume augmentation was noted at adjacent nasal sites in 10 patients.
- No donor site morbidity was reported in properly selected patients.
Conclusions:
- Nasal SMAS is a viable autologous graft material for improving nasal tip definition and providing stable volume augmentation in cosmetic rhinoplasty.
- Further studies are warranted to fully characterize the long-term graft survival of nasal SMAS in diverse patient populations.
Related Concept Videos
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Administering Oxygen by Nasal Cannula
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils, connected...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required