Perception of nasal reduction by radix and tip augmentation rhinoplasty

INTRODUCTION: A straight bridge has always been the aesthetic ideal. Simple hump removal, the classical and most commonly applied method, can have aesthetic and functional consequences. However, great resistance to augmentation procedures persists because most patients request reduction and the bene...

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Main Authors: Eduardo Antonio Torres Furlani, José Glauco Lobo Filho, Fábio Rocha Fernandes Távora
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2018-03-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1914/en_v33n1a07.pdf
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author Eduardo Antonio Torres Furlani
José Glauco Lobo Filho
Fábio Rocha Fernandes Távora
author_facet Eduardo Antonio Torres Furlani
José Glauco Lobo Filho
Fábio Rocha Fernandes Távora
author_sort Eduardo Antonio Torres Furlani
collection DOAJ
description INTRODUCTION: A straight bridge has always been the aesthetic ideal. Simple hump removal, the classical and most commonly applied method, can have aesthetic and functional consequences. However, great resistance to augmentation procedures persists because most patients request reduction and the benefits of improving nasal balance are counterintuitive. An augmented nose can look smaller, a particular benefit in patients with thick, inelastic skin or a large lower nose. On the other hand, decreased size perception after raising of the radix and tip is very common but has not been measured to date. METHODS: This study created graphic and real interventions to achieve a straight bridge through radix and tip raising and analyzed how patients and independent observers perceive these changes. A sample of 42 sequential rhinoplasty patients was analyzed, including nine cases of primary surgery and dorsal convexity. RESULTS: There was a 6.5% mean augmentation after graphic computing intervention but a perception of size reduction (p = 0.004). There was a 1% mean augmentation after rhinoplasty and an overall size reduction perception. CONCLUSION: Correction of the nasal dorsum, making a straight bridge through slightly increasing radix and tip, creates the perception of a decreased nose size.
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spelling doaj-art-3b957fd5c0bf419eb6fce2b30a71c0b72025-08-20T03:33:14ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-013301394710.5935/2177-1235.2018RBCP0007Perception of nasal reduction by radix and tip augmentation rhinoplastyEduardo Antonio Torres Furlani0José Glauco Lobo Filho1Fábio Rocha Fernandes Távora2Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilUniversidade Federal do Ceará, Fortaleza, CE, BrazilHospital do Coração e Pulmão de Messejana, Fortaleza, CE, BrazilINTRODUCTION: A straight bridge has always been the aesthetic ideal. Simple hump removal, the classical and most commonly applied method, can have aesthetic and functional consequences. However, great resistance to augmentation procedures persists because most patients request reduction and the benefits of improving nasal balance are counterintuitive. An augmented nose can look smaller, a particular benefit in patients with thick, inelastic skin or a large lower nose. On the other hand, decreased size perception after raising of the radix and tip is very common but has not been measured to date. METHODS: This study created graphic and real interventions to achieve a straight bridge through radix and tip raising and analyzed how patients and independent observers perceive these changes. A sample of 42 sequential rhinoplasty patients was analyzed, including nine cases of primary surgery and dorsal convexity. RESULTS: There was a 6.5% mean augmentation after graphic computing intervention but a perception of size reduction (p = 0.004). There was a 1% mean augmentation after rhinoplasty and an overall size reduction perception. CONCLUSION: Correction of the nasal dorsum, making a straight bridge through slightly increasing radix and tip, creates the perception of a decreased nose size.http://www.rbcp.org.br/export-pdf/1914/en_v33n1a07.pdfrhinoplastysize perceptionnosenasal cartilage
spellingShingle Eduardo Antonio Torres Furlani
José Glauco Lobo Filho
Fábio Rocha Fernandes Távora
Perception of nasal reduction by radix and tip augmentation rhinoplasty
Revista Brasileira de Cirurgia Plástica
rhinoplasty
size perception
nose
nasal cartilage
title Perception of nasal reduction by radix and tip augmentation rhinoplasty
title_full Perception of nasal reduction by radix and tip augmentation rhinoplasty
title_fullStr Perception of nasal reduction by radix and tip augmentation rhinoplasty
title_full_unstemmed Perception of nasal reduction by radix and tip augmentation rhinoplasty
title_short Perception of nasal reduction by radix and tip augmentation rhinoplasty
title_sort perception of nasal reduction by radix and tip augmentation rhinoplasty
topic rhinoplasty
size perception
nose
nasal cartilage
url http://www.rbcp.org.br/export-pdf/1914/en_v33n1a07.pdf
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