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Can Procerus Transection Alter the Radix Morphology and Influence the Nasal Length? A Study of Photogrammetric Assessments and Anthropometric Measurements on Asian Patients

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  • Rhinoplasty
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Abstract

Background

The procerus is the main muscle across the radix that needs to be operated during rhytidectomy, however, it is unclear whether transecting it can morphologically affect the nose.

Methods

A retrospective study of Asian patients who underwent procerus transection during rhytidectomy in our single institution was performed to assess whether the radix profile had any change postoperatively. The procerus was transected at a plane above the nasion.

Results

Ninety-four patients were included. All of them were female with an average age of 50.7 ± 5.2 years and a mean follow-up time of 7.8 ± 3.2 months. Twenty-seven (28.7%) had moderate horizontal wrinkles preoperatively, and sixty-seven (71.3%) had severe rhytides. Different degrees of wrinkle improvement were seen on 91 (96.8%) patients, and no improvement occurred to 3 (3.2%) patients after procerus transection. The anthropometric measurements on these patients did not find any significant difference between the preoperative and postoperative nasal heights, radix projections, nasal lengths, or nasofrontal angles (all p >0.05).

Conclusions

Procerus transection primary contributes to wrinkle improvement. The morphological change of the radix following this operation is too subtle to be observed. This conclusion should be further verified on large samples as well as on other ethnic cohorts in a long-term follow-up.

Level of Evidence IV

This journal requires that authors 10 assign a level of evidence to each article. For a full 11 description of these Evidence-Based Medicine ratings, 12 please refer to the Table of Contents or the online 13 Instructions to Authors www.springer.com/00266.

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Funding

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Author notes

  1. Qianwen Wang and Ligang Yue contribute equally and should be considered as co-first authors.

Authors and Affiliations

  1. Face & Neck Aesthetic and Plastic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, People’s Republic of China

    Qianwen Wang, Xiangyue Wang, Tailing Wang & Jiaqi Wang

  2. Cosmetic Surgery Center, General Hospital of Ping Zhuang Mining Group, 2# Hahe Street, Yuanbao District, Chifeng City, Inner Mongolia Province, People’s Republic of China

    Ligang Yue

Authors
  1. Qianwen Wang
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  2. Ligang Yue
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  3. Xiangyue Wang
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  4. Tailing Wang
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Corresponding author

Correspondence to Jiaqi Wang.

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The authors have no conflict of interest to disclose.

Ethical Approval

This study was approved by the Institutional Review Board of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College prior to initiation (ethics committee registration number:2019001025). Informed consent was obtained from all patients.

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Wang, Q., Yue, L., Wang, X. et al. Can Procerus Transection Alter the Radix Morphology and Influence the Nasal Length? A Study of Photogrammetric Assessments and Anthropometric Measurements on Asian Patients. Aesth Plast Surg 46, 342–348 (2022). https://doi.org/10.1007/s00266-021-02435-9

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  • DOI: https://doi.org/10.1007/s00266-021-02435-9

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