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Autologous rib cartilage use in rhinoplasty associated with low rates of overall long-term complications
Using a patient’s own rib cartilage (autologous) for rhinoplasty appears to be associated with low rates of overall long-term complications and problems at the rib site where the cartilage is removed, according to a report published online by JAMA Facial Plastic Surgery. Autologous rib cartilage is the preferred source of graft material for rhinoplasty because of its strength and ample volume. However, using rib cartilage for dorsal augmentation to build up the bridge of the nose has been criticized for its tendency to warp and issues at the cartilage donor site, such as pneumothorax (a collapsed lung) and postoperative scarring. Jee Hye Wee, M.D., of the National Medical Center, Seoul, South Korea, and co-authors reviewed the available medical literature to evaluate complications associated with autologous rib cartilage and rhinoplasty. Authors identified 10 studies involving 491 patients with an average follow-up across all studies of 33.3 moths. Results indicate that combined complication rates from the studies were 3.08 percent for warping, 0.22 percent for resorption, 0.56 percent for infection, 0.39 percent for displacement, 5.45 percent for hypertrophic chest scarring (keloids), 0 percent for pneumothorax and 14.07 percent for revision surgery. “The overall l
Study: Rise of ‘selfies’ have huge impact on facial plastic surgery industry
The rise of ‘selfies’ is having a huge impact on the facial plastic surgery industry according to a new study by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The annual poll studies a select group of the organization’s 2,700 members to uncover the latest trends in facial plastic surgery. The study revealed that one in three facial plastic surgeons surveyed saw an increase in requests for procedures due to patients being more self aware of looks in social media. In fact,13 percent of AAFPRS members surveyed identified increased photo sharing and patients’ dissatisfaction with their own image on social media sites as a rising trend in practice. As a result, AAFPRS members surveyed noted a 10 percent increase in rhinoplasty in 2013 over 2012, as well as a 7 percent increase in hair transplants and a 6 percent increase in eyelid surgery. “Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their own image and often look at it with a more self-critical eye than ever before,” says Edward Farrior, MD, President of the American Academy of Facial Plastic and Reconstructive Surgery. “These images are often the first impressions young people put out there to prospective friends, roma
Rhinoplasty / Nose Job
Rhinoplasty : is a surgical procedure that is usually carried out to reshape an individual’s nose for cosmetic purposes. It can also be done to make structural changes and improve health conditions, such as breathing difficulty. This very popular procedure can considerably enhance the appearance of an individual. The ‘Nose Job’ is usually carried out by a Plastic surgeon, a maxillofacial surgeon or an Otolaryngologist. It is important for the candidate desiring rhinoplasty to be at least 15 years old Some of the cosmetic improvements achieved by this surgery include decreasing or increasing nose size, altering the tip of the nose, altering the nose bridge and changing the shape /size of the nostrils. It can help provide proportion to a person’s face by improving the shape of the nose. Risks that are integral to rhinoplasty include, burst blood vessels that can cause red spots and tiny scars on the underside of the nose and, infection. It may also be necessary to repeat the surgeries to get the desired effects. It must be borne in mind that 5-20% of rhinoplasties do not have a satisfactory outcome. There may be swelling and pain for a few days after the surgery. Revision rhinoplasty, also called ‘secondary rhinoplasty’, is carried out to enhance or correct the outcome of a previous rhinoplasty. Sometimes there may be a need for three o