Titanium-Assisted Tip Support in Aesthetic Rhinoplasty

Area of Science:

• Plastic Surgery
• Facial Anatomy
• Biomaterials in Medicine

Background:

• The anterior nasal spine (ANS) is crucial for nasal symmetry and tip projection.
• Hypoplasia or absence of the ANS can lead to significant aesthetic and functional nasal deformities.
• Rigid fixation of the nasal framework to the facial skeleton is essential for stable, long-term rhinoplasty outcomes.

Purpose of the Study:

• To describe a novel surgical technique utilizing a titanium miniplate for anterior nasal spine reconstruction in aesthetic rhinoplasty.
• To evaluate the feasibility and reproducibility of L-plate-assisted ANS reconstruction for enhancing nasal framework stability.

Main Methods:

• A 1.5 mm L-shaped titanium miniplate was fixed to the premaxilla in two adult female patients undergoing rhinoplasty.
• The miniplate served to recreate a stable ANS, with septal extension grafts (SEG) secured to the plate.
• Spreader grafts were used to refine nasal tip projection and rotation, minimizing the need for bulky cartilage grafts.

Main Results:

• The L-plate-assisted technique successfully recreated a stable ANS, providing robust skeletal anchorage.
• This approach facilitated the stabilization of the nasal framework, preserving nasal valve shape and tip support.
• The method proved effective in achieving long-term aesthetic results without the use of extensive cartilage grafts.

Conclusions:

• L-plate-assisted ANS reconstruction is a feasible and reproducible option for cases with inadequate bony support.
• This technique offers a reliable method for stabilizing the nasal framework and improving aesthetic outcomes in rhinoplasty.
• Further research with larger patient cohorts and extended follow-up periods is warranted to assess late complications and long-term efficacy.