Augmentation Rhinoplasty and Centrofacial Lipofilling: Our Experience (ARCL)

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Facial Rejuvenation

Background:

• Augmentation rhinoplasty presents significant challenges for plastic surgeons.
• Combining augmentation rhinoplasty with centrofacial lipofilling can yield harmonious and aesthetic outcomes.
• This approach is particularly relevant for enhancing features in non-Caucasian patients.

Purpose of the Study:

• To describe a personal technique for combining Augmentation Rhinoplasty and Centrofacial Lipofilling (ARCL).
• To evaluate the aesthetic and functional outcomes of ARCL in non-Caucasian patients.
• To assess patient satisfaction and complication rates associated with ARCL.

Main Methods:

• Retrospective review of 307 patients treated with ARCL between January 2019 and December 2023.
• Detailed description of the ARCL surgical approach and technique.
• Post-operative assessment included photographic analysis, evaluation of nasal symmetry and contour, facial harmony, rejuvenation, patient satisfaction (ROE questionnaire), and aesthetic improvement (modified S-GAIS).

Main Results:

• A total of 307 patients were analyzed, reporting significant satisfaction with nasal aesthetics and facial harmony.
• High mean scores were observed in both the ROE questionnaire and the modified S-GAIS, indicating successful aesthetic outcomes.
• No graft extrusion or collapse was reported, and wounds healed with no major infections, demonstrating the safety of the procedure.

Conclusions:

• Augmentation Rhinoplasty combined with Centrofacial Lipofilling (ARCL) is a safe and effective procedure.
• ARCL significantly improves both functional and aesthetic outcomes in rhinoplasty.
• The technique is associated with high patient satisfaction rates and a low incidence of post-operative complications.