Metodología para prevención de irregularidades del dorso nasal en rinoplastia estética: clasificación según espesor de tejidos blandos y aplicación de nanograsa enriquecida con L-PRF.
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| Title: | Metodología para prevención de irregularidades del dorso nasal en rinoplastia estética: clasificación según espesor de tejidos blandos y aplicación de nanograsa enriquecida con L-PRF. |
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| Alternate Title: | Method for preventing nasal dorsum irregularities in aesthetic rhinoplasty: classification according to soft tissue thickness and application of L-PRF-enriched nanofat. |
| Authors: | GARCÍA CEBALLOS, José Ignacio1 info@mallorcamedicalgroup.com |
| Source: | Cirugía Plástica Ibero-Latinoamericana. oct-dic2024, Vol. 50 Issue 4, p385-399. 15p. |
| Subjects: | PLATELET-rich fibrin, PLATELET-rich plasma, RHINOPLASTY, LEUKOCYTES, BLOOD platelets, AESTHETICS |
| Abstract (English): | Background and objective. The most common aesthetic defects after rhinoplasty are small dorsal irregularities, mainly in patients with thin dorsal nasal skin. The regenerative properties of emulsified fat and platelet derivatives provide an additional approach to prevent and treat postoperative dorsal nasal irregularities. We present a rhinoplasty concept where the thickness of the soft tissue envelope of the nasal dorsum is evaluated preoperatively, and patients are then classified and treated with nanofat grafts enriched with leukocyte- and platelet-rich plasma (L-PRF) to prevent postoperative dorsal nasal irregularities. Methods. During the first consultation for aesthetic rhinoplasty, the thickness of the dorsal skin at the level of the dorsal osteocartilaginous junction is measured in all patients using a manual adipometer, and candidates are classified according to the thickness of their soft tissue envelope into 2 groups: those with a thickness greater than 3 mm and those at higher risk, defined as thickness equal to or less than 3 mm. The high-risk group is treated intraoperatively with leukocyte and platelet-rich fibrin (L-PRF) and intradermal emulsified fat. Results. A total of 24 patients, 2 men and 22 women, underwent primary aesthetic rhinoplasty including dorsal hump removal, between January 2022 and January 2023, were reviwed The average increase in the thickness of the dorsal nasal soft tissue in treated patients was 0.9 mm after a one-year follow-up period. None of them required postoperative revision due to dorsal or middle vault irregularities. Conclusions. We present a personalized preventive approach that optimizes the aesthetic outcomes of rhinoplasty. The methodology presented demonstrates that preoperative evaluation of dorsal nasal skin thickness is key to identifying patients at higher risk of developing aesthetic irregularities after rhinoplasty. In our experience, classification by skin thickness and preventive treatment with nanofat grafts and leukocyte-and platelet-rich plasma (L-PRF) provides an effective strategy to reduce postoperative nasal contour complications. This technique improves the thickness of the dorsal soft tissue, resulting in a smoother nasal surface and reducing the need for subsequent revisions due to irregularities. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción y objetivo. Los defectos estéticos más comunes después de la rinoplastia son pequeñas irregularidades dorsales, principalmente en pacientes con piel dorsal nasal delgada. Las propiedades regenerativas de la grasa emulsionada y los derivados plaquetarios son una herramienta adicional para prevenir y tratar estas irregularidades postoperatorias Presentamos un concepto de rinoplastia en el que evaluamos el espesor de la envoltura del tejido blando del rinion preoperatoriamente para clasificar a los pacientes y tratarlos luego mediante injertos de nanograsa enriquecidos con plasma rico en leucocitos y plaquetas con el fin de prevenir las irregularidades postoperatorias del dorso nasal. Material y método. Durante la primera consulta para rinoplastia estética se mide el espesor de la piel dorsal a nivel de la unión osteocartilaginosa dorsal de todos los pacientes mediante adipómetro manual y se clasifican según el grosor de la envoltura de tejido blando de su rinion en 2 grupos definidos por un grosor superior o inferior a 3 mm, considerando como grupo de riesgo aquel con espesor igual o menor a 3 mm. El grupo de riesgo se trata intraoperatoriamente con fibrina rica en plaquetas y leucocitos (L-PRF) y grasa emulsionada intradérmica. Resultados. Analizamos 24 pacientes, 2 hombres y 22 mujeres, sometidos a rinoplastia primaria estética que incluyó extirpación de giba, entre enero de 2022 y enero de 2023. El promedio de incremento de grosor del tejido blando del dorso nasal en los pacientes tratados fue de 0.9 mm tras un seguimiento de 1 año. Ninguno requirió revisión postoperatoria por irregularidades en dorso nasal o bóveda media. Conclusiones. Presentamos un enfoque preventivo personalizado que optimiza los resultados estéticos en rinoplastia. Nuestra metodología combina evaluación preoperatoria del grosor de la piel del dorso nasal que es clave para identificar aquellos pacientes con mayor riesgo de desarrollar irregularidades estéticas tras rinoplastia, su clasificación según el grosor de la piel, y el tratamiento preventivo con injertos de nanograsa y plasma rico en leucocitos y plaquetas (L-PRF). Nuestra experiencia, ofrece una estrategia efectiva para reducir complicaciones postoperatorias en el contorno nasal y permite mejorar el espesor del tejido blando del dorso, resultando una superficie nasal más homogénea y reduciendo la necesidad de revisiones por irregularidades. [ABSTRACT FROM AUTHOR] |
| Copyright of Cirugía Plástica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 183043462 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Metodología para prevención de irregularidades del dorso nasal en rinoplastia estética: clasificación según espesor de tejidos blandos y aplicación de nanograsa enriquecida con L-PRF. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Method for preventing nasal dorsum irregularities in aesthetic rhinoplasty: classification according to soft tissue thickness and application of L-PRF-enriched nanofat. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22GARCÍA+CEBALLOS%2C+José+Ignacio%22">GARCÍA CEBALLOS, José Ignacio</searchLink><relatesTo>1</relatesTo><i> info@mallorcamedicalgroup.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Cirugía+Plástica+Ibero-Latinoamericana%22">Cirugía Plástica Ibero-Latinoamericana</searchLink>. oct-dic2024, Vol. 50 Issue 4, p385-399. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22PLATELET-rich+fibrin%22">PLATELET-rich fibrin</searchLink><br /><searchLink fieldCode="DE" term="%22PLATELET-rich+plasma%22">PLATELET-rich plasma</searchLink><br /><searchLink fieldCode="DE" term="%22RHINOPLASTY%22">RHINOPLASTY</searchLink><br /><searchLink fieldCode="DE" term="%22LEUKOCYTES%22">LEUKOCYTES</searchLink><br /><searchLink fieldCode="DE" term="%22BLOOD+platelets%22">BLOOD platelets</searchLink><br /><searchLink fieldCode="DE" term="%22AESTHETICS%22">AESTHETICS</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Background and objective. The most common aesthetic defects after rhinoplasty are small dorsal irregularities, mainly in patients with thin dorsal nasal skin. The regenerative properties of emulsified fat and platelet derivatives provide an additional approach to prevent and treat postoperative dorsal nasal irregularities. We present a rhinoplasty concept where the thickness of the soft tissue envelope of the nasal dorsum is evaluated preoperatively, and patients are then classified and treated with nanofat grafts enriched with leukocyte- and platelet-rich plasma (L-PRF) to prevent postoperative dorsal nasal irregularities. Methods. During the first consultation for aesthetic rhinoplasty, the thickness of the dorsal skin at the level of the dorsal osteocartilaginous junction is measured in all patients using a manual adipometer, and candidates are classified according to the thickness of their soft tissue envelope into 2 groups: those with a thickness greater than 3 mm and those at higher risk, defined as thickness equal to or less than 3 mm. The high-risk group is treated intraoperatively with leukocyte and platelet-rich fibrin (L-PRF) and intradermal emulsified fat. Results. A total of 24 patients, 2 men and 22 women, underwent primary aesthetic rhinoplasty including dorsal hump removal, between January 2022 and January 2023, were reviwed The average increase in the thickness of the dorsal nasal soft tissue in treated patients was 0.9 mm after a one-year follow-up period. None of them required postoperative revision due to dorsal or middle vault irregularities. Conclusions. We present a personalized preventive approach that optimizes the aesthetic outcomes of rhinoplasty. The methodology presented demonstrates that preoperative evaluation of dorsal nasal skin thickness is key to identifying patients at higher risk of developing aesthetic irregularities after rhinoplasty. In our experience, classification by skin thickness and preventive treatment with nanofat grafts and leukocyte-and platelet-rich plasma (L-PRF) provides an effective strategy to reduce postoperative nasal contour complications. This technique improves the thickness of the dorsal soft tissue, resulting in a smoother nasal surface and reducing the need for subsequent revisions due to irregularities. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción y objetivo. Los defectos estéticos más comunes después de la rinoplastia son pequeñas irregularidades dorsales, principalmente en pacientes con piel dorsal nasal delgada. Las propiedades regenerativas de la grasa emulsionada y los derivados plaquetarios son una herramienta adicional para prevenir y tratar estas irregularidades postoperatorias Presentamos un concepto de rinoplastia en el que evaluamos el espesor de la envoltura del tejido blando del rinion preoperatoriamente para clasificar a los pacientes y tratarlos luego mediante injertos de nanograsa enriquecidos con plasma rico en leucocitos y plaquetas con el fin de prevenir las irregularidades postoperatorias del dorso nasal. Material y método. Durante la primera consulta para rinoplastia estética se mide el espesor de la piel dorsal a nivel de la unión osteocartilaginosa dorsal de todos los pacientes mediante adipómetro manual y se clasifican según el grosor de la envoltura de tejido blando de su rinion en 2 grupos definidos por un grosor superior o inferior a 3 mm, considerando como grupo de riesgo aquel con espesor igual o menor a 3 mm. El grupo de riesgo se trata intraoperatoriamente con fibrina rica en plaquetas y leucocitos (L-PRF) y grasa emulsionada intradérmica. Resultados. Analizamos 24 pacientes, 2 hombres y 22 mujeres, sometidos a rinoplastia primaria estética que incluyó extirpación de giba, entre enero de 2022 y enero de 2023. El promedio de incremento de grosor del tejido blando del dorso nasal en los pacientes tratados fue de 0.9 mm tras un seguimiento de 1 año. Ninguno requirió revisión postoperatoria por irregularidades en dorso nasal o bóveda media. Conclusiones. Presentamos un enfoque preventivo personalizado que optimiza los resultados estéticos en rinoplastia. Nuestra metodología combina evaluación preoperatoria del grosor de la piel del dorso nasal que es clave para identificar aquellos pacientes con mayor riesgo de desarrollar irregularidades estéticas tras rinoplastia, su clasificación según el grosor de la piel, y el tratamiento preventivo con injertos de nanograsa y plasma rico en leucocitos y plaquetas (L-PRF). Nuestra experiencia, ofrece una estrategia efectiva para reducir complicaciones postoperatorias en el contorno nasal y permite mejorar el espesor del tejido blando del dorso, resultando una superficie nasal más homogénea y reduciendo la necesidad de revisiones por irregularidades. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Cirugía Plástica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.4321/S0376-78922024000400005 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 15 StartPage: 385 Subjects: – SubjectFull: PLATELET-rich fibrin Type: general – SubjectFull: PLATELET-rich plasma Type: general – SubjectFull: RHINOPLASTY Type: general – SubjectFull: LEUKOCYTES Type: general – SubjectFull: BLOOD platelets Type: general – SubjectFull: AESTHETICS Type: general Titles: – TitleFull: Metodología para prevención de irregularidades del dorso nasal en rinoplastia estética: clasificación según espesor de tejidos blandos y aplicación de nanograsa enriquecida con L-PRF. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: GARCÍA CEBALLOS, José Ignacio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: oct-dic2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 03767892 Numbering: – Type: volume Value: 50 – Type: issue Value: 4 Titles: – TitleFull: Cirugía Plástica Ibero-Latinoamericana Type: main |
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