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A 3-Level Impaction Technique for Dorsal Reshaping and Reduction Without Dorsal Soft Tissue Envelope Dissection
Valerio Finocchi, Valentino Vellone1, Rubens Giorgio Mattioli2
1Dipartimento di Scienze Odontostomatologiche e Maxillo-Facciale, "La Sapienza" Università di Roma, Rome, Italy.
Aesthetic Surgery Journal
|June 27, 2021
Summary
Preservation rhinoplasty (PR) can achieve dorsal profile correction without soft tissue envelope dissection. This new 3-level impaction technique offers a versatile approach for selected patients, leading to fast recovery and natural results.
Area of Science:
- Plastic Surgery
- Facial Plastic Surgery
- Rhinoplasty Techniques
Background:
- Preservation rhinoplasty (PR) techniques are evolving.
- New variations aim to improve outcomes and minimize invasiveness.
Purpose of the Study:
- Describe indications for a novel "3-level impaction" technique in closed rhinoplasty.
- Achieve complete profile correction and dorsal reduction without dissecting the dorsal soft tissue envelope (STE).
Main Methods:
- Retrospective study of 350 primary closed rhinoplasty cases.
- Ninety-five cases utilized a "3-level impaction" technique combining swinging-door septoplasty, mosaic osteotomies, and let-down/push-down operations.
- Avoided dorsal STE dissection and dorsal tissue resection.
Main Results:
- All patients achieved significant profile changes without dorsal STE dissection or resection.
- Mosaic osteotomies reshaped the dorsal keystone area.
- Impaction and profile setting were successfully achieved, with an average follow-up of 14 months.
Conclusions:
- The dorsum can be preserved without STE dissection in selected rhinoplasty patients.
- Combining endonasal maneuvers allows dramatic profile changes without dorsal resection.
- This versatile technique promotes fast recovery and natural aesthetic results.
