Rhinoplasty Technique for Improving Nasal Base Aesthetics: Lateral Columellar Grafting.

Area of Science:

• Plastic Surgery
• Rhinology
• Aesthetic Surgery

Background:

• Nasal base symmetry is crucial for aesthetic outcomes in rhinoplasty.
• Increased patient expectations for symmetrical noses are driven by social media prevalence.
• Current techniques may not fully address columellar asymmetry.

Purpose of the Study:

• To present and evaluate a lateral columellar grafting technique for augmenting the defective side of the columella.
• To improve nasal base symmetry and patient satisfaction after rhinoplasty.

Main Methods:

• A cohort of 86 patients (79 female, 7 male) underwent the lateral columellar grafting technique.
• Grafts were placed on the more defective side of the columella, assessed from the basal view.
• Rhinoplasty Outcome Evaluation (ROE) questionnaire used for pre-operative and 1-year post-operative assessment.

Main Results:

• The median ROE score significantly increased from 68.3 pre-surgery to 92.3 one year post-surgery (P = 0.003).
• Excellent patient satisfaction was reported in 93% of cases.
• The technique effectively augmented the defective side, leading to improved symmetry.

Conclusions:

• The lateral columellar grafting technique is effective in achieving greater symmetry of the columella and nostrils.
• Augmenting the defective side of the lateral columellar surface enhances overall nasal base aesthetics.
• This method offers a valuable solution for patients seeking improved nasal symmetry.