Our Summary

This study explores a new method to improve the appearance of Asian patients with a sunken middle of the face. This method involves a new prosthesis (medical device) used to enhance the pyriform aperture, which is the pear-shaped opening in the skull where the nose and nasal cavities are formed. Three different surgical nose reshaping (rhinoplasty) plans were designed based on the severity of the sunken mid-face. These include: (1) simple implantation around the nose opening, (2) implantation around the nose opening while performing a nose job, and (3) implantation around the nose opening combined with a nose lengthening technique. The research suggests that a comprehensive nose job with the new prosthesis can greatly improve the look of the nose and face. This technique is a good fit for comprehensive nose jobs of Asian patients with a sunken middle of the face.

FAQs

  1. What is the new prosthesis designed for pyriform aperture augmentation in rhinoplasty?
  2. What are the three different rhinoplasty schemes designed for Asian patients with mid-face concavity?
  3. How does the comprehensive rhinoplasty with pyriform aperture augmentation improve the aesthetic relationship between the nasal and facial areas?

Doctor’s Tip

One helpful tip a doctor might tell a patient considering rhinoplasty is to carefully discuss and consider the specific techniques and approaches that will be used during the procedure. In the case of Asian patients with mid-face concavity, a comprehensive approach that includes pyriform aperture augmentation may be recommended for achieving optimal aesthetic results. It is important for the patient to understand the specifics of the procedure and how it will address their individual concerns and goals.

Suitable For

Patients who are typically recommended for rhinoplasty include those who are unhappy with the size or shape of their nose, have breathing difficulties due to a deviated septum or other structural issues, have suffered trauma to the nose, or have congenital deformities. In the case of Asian patients with mid-face concavity, pyriform aperture augmentation may be recommended to improve the aesthetic relationship between the nasal and facial areas. This technique can be particularly beneficial for those with a flattened or under-projected nasal base, as it can help create a more harmonious and balanced appearance.

Timeline

Before rhinoplasty:

  1. Consultation with a plastic surgeon to discuss desired outcomes and expectations.
  2. Physical examination to assess the patient’s nasal structure and overall facial features.
  3. Discussion of different rhinoplasty options and potential surgical techniques.
  4. Pre-operative evaluations and tests to ensure the patient is a suitable candidate for surgery.

After rhinoplasty:

  1. Recovery period, which may include swelling, bruising, and discomfort.
  2. Follow-up appointments with the surgeon to monitor healing progress and address any concerns.
  3. Gradual improvement in nasal appearance as swelling subsides.
  4. Final results becoming more apparent after several months as the nose settles into its new shape.
  5. Potential for additional touch-up procedures or revisions to achieve desired results.

What to Ask Your Doctor

  1. What is the specific technique you will use for my rhinoplasty procedure, including the pyriform aperture augmentation?

  2. What are the potential risks and complications associated with pyriform aperture augmentation during rhinoplasty?

  3. How long is the recovery process for rhinoplasty with pyriform aperture augmentation, and what can I expect in terms of pain and swelling?

  4. Will I need any additional follow-up procedures or touch-ups after the initial rhinoplasty with pyriform aperture augmentation?

  5. How will the pyriform aperture augmentation affect the overall appearance of my nose and face? Can you provide me with before and after photos of similar cases you have treated?

  6. Are there any specific instructions or precautions I should follow before and after the rhinoplasty procedure with pyriform aperture augmentation?

  7. What is your level of experience and expertise in performing rhinoplasty with pyriform aperture augmentation, and can you provide me with any patient testimonials or references?

  8. How much does rhinoplasty with pyriform aperture augmentation typically cost, and will it be covered by insurance?

  9. What are the long-term results and satisfaction rates for patients who have undergone rhinoplasty with pyriform aperture augmentation?

  10. Is there anything else I should know or consider before making a decision about rhinoplasty with pyriform aperture augmentation?

Reference

Authors: Jianfang Z, Yang A, Dong L. Journal: Clin Plast Surg. 2023 Jan;50(1):133-140. doi: 10.1016/j.cps.2022.08.003. Epub 2022 Oct 8. PMID: 36396252