Study: Complication Rates are Low for Rhinoplasty Using Patient’s own Rib Cartilage

Rhinoplasty Using Patient’s own Rib CartilageNose surgery is one of the most popular facial cosmetic surgical procedures in the U.S. and the American Society for Aesthetic Plastic Surgery (ASAPS) ranked it among the top five in 2014. In addition to improving appearance, rhinoplasty can also set right breathing issues.

The procedure involves making cuts within the nostrils and sometimes, across the base of the nose. The plastic surgeon then reshapes the inner bone and cartilage to improve appearance.

Cartilage grafts help build up or straighten sections of the nose or to replace missing cartilage. Cartilage from the patient’s ears or rib or bone from the skull is used to build better definition. The patient’s rib cartilage is the preferred source of graft material as it is strong and plentiful. However, the use of rib cartilage to build up the bridge of the nose has come under criticism as it has a tendency to warp or become distorted, causing unevenness and asymmetry. Moreover, using rib cartilage was also thought to cause issues at the donor site, such as a collapsed lung and postsurgical scarring.

Now, a literature review recently published by JAMA Facial Plastic Surgery says that overall long-term complications rates are low when the patient’s own rib cartilage is used. According to the report in Healio, the researchers independently searched the several reliable databases to collect notes relating to the nose surgery complications over the years to arrive at this conclusion. They evaluated the results of ten studies published during the period 1946-2013, which reported complications and donor-site issues related to autologous rib cartilage use in nose surgery.

  • The analysis covered a total of 491 patients
  • The studies were followed up for about 33.3 months
  • Data for 458 people in nine studies indicated an low warping and resorption (erosion) rates of 3.08% and 0.22%, respectively
  • For 414 patients, eight studies reported infection rates and the combined rate of infection of 0.56%
  • Graft displacement rates were reported by seven studies in 282 patients, with a 0.39% total proportion of displacement
  • 291 patients in five studies reported rates of hypertrophic chest scarring (deposits of excessive amounts of collagen resulting in a raised scar)
  • In seven studies, revision surgery was reported for 304 patients with a combined revision surgery rate of 14.07%

While advising plastic surgeons to focus on reducing warping and hypertrophic chest scarring, the researchers concluded that complication rates are generally low when the patient’s own rib cartilage is used for nasal surgery.

Study Suggests the Ideal Nasal Tip Rotation and Projection

Nose surgery continues to be among the top 5 cosmetic surgery procedures over years. It is mainly because the positioning of the nose really matters when it comes to an improved facial appearance. According to the American Society of Plastic Surgeons (ASPS) annual report for 2013, nose reshaping surgery is the second most popular cosmetic surgery with over 200,000 procedures. People who consider their nose disproportionate with the rest of the facial features usually consider rhinoplasty surgery to improve its appearance.

A new study published in JAMA Facial Plastic Surgery Journal discusses the ideal proportion of a nose, describing the apt nasal tip rotation and projection. People looking for nasal enhancement can consider it when discussing their treatment goals with the plastic surgeon. Besides, the surgeon could utilize the information to offer optimal rhinoplasty results.

The study involved 106 side view pictures of women in the age range of 18 to 25. Each image was digitally assessed and modified with naso-labial angles at 96, 101, 106, 111 and 116 degrees. A variety of social groups assessed these pictures for attractiveness. The study concluded that a slant of 106 degrees was the finest nasal angle with a 1 tip projection. Another online survey was also conducted with about 4,000 people when similar findings were revealed. The study backed previous research papers which showed 104 and 108 degrees as the ideal nasal angle for women.

For men to look very attractive and for the face to be more masculine, an angle of 90 degrees is considered ideal. There is a close relationship between nasal tip projection and rotation, which only a skilled surgeon can identify. A surgeon experienced in providing this delicate surgery can use the findings as guidelines to offer good rhinoplasty results.

A number of celebrities have reportedly undergone rhinoplasty surgery procedure and the results have been optimal. The long list includes Rebecca Adlington, Jennifer Aniston, Dianna Agron, Cameron Diaz, and Ashlee Simpson among others.

Learn More About Teenage Rhinoplasty

"Nose job" or rhinoplasty is the most common cosmetic procedure done among the teens in America. Teenage rhinoplasty is mostly done to improve the appearance of the nose, the size and shape of which is very important with regard to one’s facial appearance and self-image. Occasionally rhinoplasty is also provided for medical reasons, for instance, to correct a problem with the cartilage that divides one nostril from the other, or to improve breathing.

Clear Communication with the Plastic Surgeon is Vital

There should be excellent communication between the teenage patient and the chosen plastic surgeon. A good surgeon always makes sure that the teenager is undergoing the treatment for the right reasons. Another important consideration is their age. Nose surgery can be performed only after the nose has reached its adult size. This is usually 15 to 16 years of age for a female, and 16 – 17 years of age for males.

Reasons for Undergoing Rhinoplasty

The most common reasons why teenagers opt for a nose surgery include the following.

  • Reshape the nasal tip
  • Remove a hump
  • Straighten a bridge
  • Correct the nose after an injury
  • Increase or reduce the size of the nostrils
  • Improve breathing

Summer is the Ideal Time to Undergo a Teen Nose Job

In the US, summer would be the ideal time to undergo a nose job as teens would get ample time to recuperate and relax. Since some time is required for the swelling to subside and the final results to become visible, teens are usually advised to have the procedure done at the beginning of summer so that they get sufficient time to recover before going back to school.

The ASPS (American Society of Plastic Surgeons) has no formal position on plastic surgery for teenagers. However, parental consent is mandatory for all plastic surgery procedures performed on teens below 18 years of age. They advise parents to evaluate their teenager’s physical and emotional maturity when undergoing plastic/cosmetic procedures including nose surgery procedures. Moreover, the guidance of a board-certified plastic surgeon is vital to handle individual cases.

Nose reshaping is popular among teenagers because of the facial enhancement and improved self-esteem it ensures. When a misshapen nose is corrected, teens gain self-esteem and confidence. They will find it easier to interact with others in the society and lead normal lives.

It is important that teenagers and their parents understand that plastic surgery, like other surgical procedures carries some amount of risk. It is important that teens maintain realistic expectations regarding the results that can be achieved.

Lisa Kudrow Rates Her Nose Job as a Life-altering Decision

We know that many celebrities have undergone cosmetic surgery and benefited from the procedure. The latest news in this regard is Lisa Kudrow’s nose job that she underwent as a teenager, which in her own words was a life altering decision. The former “Friends” star aged 50, revealed that she considered herself “hideous” before this treatment and that her decision to go for rhinoplasty surgery was the right one because it made her look as well as feel really good. Rhinoplasty, or nose surgery, is a popular cosmetic surgery option to achieve a well-shaped nose and improved overall symmetry of the face.

This surgery is performed as an aesthetic procedure as well as for corrective purposes to reshape the nose or its length and size. This nose surgery not only includes beautifying elements but also improves the breathing function. The surgery is a good solution for many aesthetic concerns dealing with the nose such as:

  • A low dorsum
  • A narrow dorsum
  • A high dorsum (or bridge)
  • A wide dorsum
  • Bulbous tip
  • A nose that is too large
  • A tip that is too low, or a tip that is too high

There are minimal risks and complications associated with the surgery, provided it is performed by an experienced surgeon. Approach a reliable plastic surgery center where skilled and talented plastic surgeon performs open or closed rhinoplasty surgery depending upon the actual condition of the patient. Nose surgery offers enhanced form and function to the nose, which makes it a really beneficial surgery.