Effect of the depressor septi nasi muscle modification on nasal tip rotation and projection

Aesthetic Plastic Surgery
Javad S ToutounchiBehzad Salari

Abstract

The nasal tip is an important esthetic feature of the face and surgery on it is the most challenging part of a rhinoplasty. In the present study, we evaluated the effects of modification of the depressor septi nasi muscle on nasal tip rotation and projection. Eighty primary rhinoplasty patients who required nasal tip modifications were enrolled in a randomized clinical trial from October 2008 to March 2012. A study group composed of 40 patients underwent rhinoplasty including cutting and repositioning of the depressor septi nasi muscle and another group of 40 patients (control) underwent rhinoplasty without manipulation of the depressor septi nasi muscle. Nasal tip rotation and projection, and patient satisfaction were evaluated before and 6 months after the operation. Following rhinoplasty including cutting of the depressor septi nasi muscle, nasal tip rotation and projection, and patient satisfaction were improved in 70, 57.5, and 85 % of the patients, respectively; and in the control group, they were improved in 82.5, 55, and 67.5 %, respectively (P = 0.089, 0.607, and 0.069). Cutting and repositioning of the depressor septi nasi muscle as an adjunct to rhinoplasty is not associated with any additional advantage in terms of ...Continue Reading

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Citations

Sep 14, 2018·Plastic and Reconstructive Surgery·Sadek MowakketAchilleas Thoma
May 6, 2019·Aesthetic Surgery Journal·Yusuf HassanMatthew C McRae
Apr 19, 2017·JAMA Facial Plastic Surgery·Eric W Cerrati, Steven H Dayan

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