Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery

Background:

• The nasofrontal angle (radix) significantly influences rhinoplasty outcomes and midfacial appearance.
• Various techniques and materials exist for radix augmentation in rhinoplasty.

Purpose of the Study:

• To describe rhinoplasty techniques and materials for radix augmentation.
• To evaluate the outcomes and complications of radix augmentation over a 12-year period.

Main Methods:

• Retrospective review of 387 patients undergoing rhinoplasty/septorhinoplasty with radix augmentation (Jan 2007-Dec 2019).
• Inclusion criteria: age ≥18 years and ≥1 year follow-up.
• Data analyzed for graft materials, techniques, patient satisfaction, and complications.

Main Results:

• 97% of patients reported satisfaction with aesthetic results.
• No infections, graft displacement, or extrusion occurred.
• 3% of patients experienced irregularities requiring revision surgery.

Conclusions:

• Nasal radix consideration is crucial for a balanced facial profile in rhinoplasty.
• Diverse graft materials can be safely employed for favorable aesthetic results.
• Successful radix augmentation depends on precise anatomical assessment and appropriate patient selection.