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Upper Lateral Cartilage Overlapping on the High Dorsum with the Let-Down Technique
1Nisantasi University, Medical School, Department of Plastic, Aesthetic and Reconstructive Surgery, Nisantasi, İstanbul, Turkey. drgunceloz@gmail.com.
Aesthetic Plastic Surgery
|March 6, 2023
Summary
Dorsal preservation rhinoplasty combined with upper lateral cartilage overlapping significantly improved patient satisfaction and aesthetic outcomes. This technique offers an alternative for hump deformities with excellent results and a low complication risk.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Facial Aesthetic Surgery
Background:
- Rhinoplasty is a common cosmetic procedure, with hump deformities frequently seen in Caucasian patients.
- Traditional hump reduction involves amputation, but research continues for improved outcomes.
- Dorsal preservation rhinoplasty aims to maintain the nasal bridge's structural integrity.
Purpose of the Study:
- To evaluate the efficacy of upper lateral cartilage overlapping in dorsal preservation rhinoplasty.
- To assess aesthetic and functional results in patients with hump deformities.
Main Methods:
- Retrospective analysis of 47 patients (39 female, 8 male) with hump deformities.
- Patients underwent dorsal preservation rhinoplasty combining upper lateral cartilage overlapping with the let-down technique.
- Outcomes were measured using the Rhinoplasty Outcome Evaluation (ROE) scale.
Main Results:
- No instances of hump relapse were reported.
- The median ROE score significantly increased from 50.00 to 91.00 after 12 months (p < 0.001).
- Excellent patient satisfaction was achieved in 89.9% of cases based on the ROE scale.
Conclusions:
- Combining upper lateral cartilage overlapping with the let-down technique is a viable alternative for treating high hump and narrow dorsum deformities.
- This approach yields superior aesthetic and functional results.
- The technique is associated with a reduced risk of complications.
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