Craniomaxillofacial deformities/cosmetic surgeryAn Analysis of 101 Primary Cosmetic Rhinoplasties
Section snippets
Patients and Methods
A retrospective chart review was completed on all patients who had primary cosmetic rhinoplasty with or without septoplasty and which were operated on by the senior authors (S.C.B. and H.M.) from June 30, 2006 through December 31, 2008. A standard physical examination, including photo documentation, was completed on each patient preoperatively. All patients were followed periodically after surgery for at least 12 months. Outcome was measured by both subjective and objective measures of cosmetic
Results
One hundred one patients (n = 101, average age 24.4 ± 6.8 years old, female = 62, males = 39) were enrolled in the study. Most patients presented for consultation regarding cosmetic rhinoplasty (80%) versus septorhinoplasty (20%). Although most of the patients (63%) were treated with septorhinoplasty, the open rhinoplasty (transcollumellar) incision was used in most cases (61%) versus the closed rhinoplasty (39%) technique. The most commonly performed operative technique used was the
Discussion
Rhinoplasty was traditionally developed as a cosmetic procedure to alter the shape of the nose via a closed (endonasal) surgical access. This technique has survived the test of time and continues to be a principal approach for many surgeons.3 In the past 3 decades many surgeons have embraced the open rhinoplasty approach via a transcollumellar incision. Although the literature may appear conflicting regarding the use of an open versus closed technique,4, 5, 6 both techniques can provide
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