Abstract

Aim: To assess the safety profile and practice trend of autologous costal cartilage harvest by facial plastic surgeons in the United States (US).

Highlights

  • Rhinoplasty remains one of the most demanding operations of the cosmetic and reconstructive surgeon due to the complex three-dimensional anatomy of the nose, which serves both form and function

  • Routine chest imaging or overnight observation post-operatively was not warranted as the percentage of pneumothorax remained low and pain control was adequate

  • Survey respondents were asked about their years of experience, number of autologous costal cartilage harvest performed annually, their techniques, rate of pneumothorax, safety practices and post-operative management

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Summary

Introduction

Rhinoplasty remains one of the most demanding operations of the cosmetic and reconstructive surgeon due to the complex three-dimensional anatomy of the nose, which serves both form and function. The nose sits in the center of a face, even the slightest asymmetry or imperfection is apparent causing significant patient distress and dissatisfaction. This may explain how rhinoplasty was the fifth most popular cosmetic procedure in 2015, with close to 218,000 performed, according to the data from the American Society of Plastic Surgeons[1]. Many patients seek revision rhinoplasty to correct minor deformities. Some of these cases are more involved requiring repair of cosmetic and/or functional defects

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