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Learning Objectives: After studying this article, the participant should be able to: 1. Understand the autologous graft options available to the rhinoplasty surgeon, including septal cartilage, auricular cartilage, costal cartilage, and bone. 2. Understand the autograft and allograft options available to the rhinoplasty surgeon, including cadaveric costal cartilage, silicone, Medpor, and Gore-Tex. 3. Identify the ideal situations to use each of these implant materials. 4. Understand the advantages and disadvantages of the different autografts, allografts, and implants in rhinoplasty.
Summary: This review focuses on the graft options available to the modern rhinoplasty surgeon. Autologous options are varied in the quality of cartilage harvested and the morbidity of the donor site. In addition, surgeons should understand the allograft options should autologous grafting be unfeasible or undesirable. New technological advances in processing of allograft cartilage makes this an attractive secondary option.
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http://dx.doi.org/10.1097/PRS.0000000000009372 | DOI Listing |
J Craniofac Surg
September 2025
Faculty School of Human Medicine, Peruvian University Union (UpeU), Lima, Peru.
Objective: Most of the studies support that primary rhinoplasty during cleft-lip repair results in good outcomes with no effects on nasal growth. This study, through the analysis of patients with congenital unilateral cleft lip, explores the efficacy of the vestibular Z-plasty technique for primary nasal deformity repair.
Methods: Since 2023, a single surgeon has operated on 12 consecutive unilateral cleft lip and palate patients with associated nasal deformities.
Diagnostics (Basel)
August 2025
Unit of Dental and Maxillofacial Surgery, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, 37134 Verona, Italy.
: The columellar strut and septal extension graft are two common techniques in modern rhinoplasty to enhance nasal tip projection and rotation, though their effectiveness varies. While numerous studies examine each technique individually, there is limited research directly comparing the two methods, especially regarding long-term outcomes. This study aims to clarify the roles of these grafting techniques and possibly compare their long-term effectiveness in reconstructing caudal nasal support structures with available evidence in the literature.
View Article and Find Full Text PDFAesthetic Plast Surg
August 2025
Department of Plastic Surgery, Seth GS Medical College and KEM Hospital, Old building, 2nd floor, Gynec. wing, Mumbai, India.
Background: Structural rhinoplasty is a complex surgical procedure that aims to restore and enhance nasal structure and function by reconstructing the underlying framework. Robust grafting material is required for durable results. For revision or secondary rhinoplasty cases where septal and conchal cartilage reserves are exhausted, autologous rib cartilage grafting remains the cornerstone of structural reconstruction, providing comprehensive solutions.
View Article and Find Full Text PDFPlast Reconstr Surg
September 2025
From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School.
Background:: Precise nasal tip refinement is a cornerstone of Asian rhinoplasty that addresses characteristics such as bulbous tips, short columellas, and flared nostrils. The septal extension graft (SEG) and the derotation graft (DRG) are commonly used to enhance tip projection; however, comparative analyses are lacking. The authors assessed the outcomes of the SEG and the DRG in Asian patients who underwent tip-plasty.
View Article and Find Full Text PDFAesthetic Plast Surg
August 2025
Department of Plastic Reconstructive and Aesthetic Surgery, Aurora Hospital, 11000, Belgrade, Serbia.
Background: Anthropometric analysis of the nasal bone can establish parameters that significantly contribute to rhinoplasty outcomes. Key anatomical landmarks situated along the nasal dorsum, including the sellion, rhinion, and kyphion, can have significant angular relationships. Among these elements, the dorsal profile angle (DPA) and its corresponding point have been the least investigated to date.
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