Abstract
Background
Rhinoplasty is an ever-evolving field, with innovative techniques continually being developed to enhance both aesthetic and functional outcomes for patients. Increasingly, research has focused on the integral role of the facial skeleton in providing nasal support and projection. Central to the structural integrity of the nose is the maxillary bone, which occupies a pivotal position in the midface.
Methods
The objective of this study is to assess the outcomes of patients who underwent rhinoplasty involving the placement of a premaxillary graft fashioned from costal cartilage. The study aims to evaluate the graft’s tolerance, stability, and potential complications. The patient cohort comprised individuals who underwent open approach rhinoplasty with premaxillary insufficiency, necessitating the placement of a costal cartilage graft anterior to the nasal spine, performed by the same surgeon between 2021 and 2022. A total of 38 patients, consisting of 5 men and 33 women aged between 18 and 58 years, were operated on during this period.
Results
Consistent maintenance of tip support was observed across all cases. Among the 33 patients, 20 were randomly chosen for a comparative assessment of the nasolabial angle in preoperative and postoperative profile photographs, demonstrating a statistically significant improvement. No complications such as graft displacement, scarring, extrusion, or infections were reported.
Conclusion
The use of a premaxillary graft with costal cartilage appears to be a viable, well-tolerated option with favorable long-term outcomes.
Level of Evidence IV
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Video 1: Surgical demonstration of the premaxillary graft technique. (MOV 142917 KB)
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Martins, L., Fagundes, M.S.C., Patrial, M.T.C.R.d. et al. Premaxillary Graft with Costal Cartilage in Rhinoplasty: A Technique to Support the Nasal Tip. Aesth Plast Surg 49, 2746–2753 (2025). https://doi.org/10.1007/s00266-024-04388-1
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DOI: https://doi.org/10.1007/s00266-024-04388-1