Abstract
Background
The quest for facial rejuvenation often involves addressing multiple features, yet traditional surgical approaches typically focus on isolated areas. This study explores the efficacy and outcomes of combining open structured precision rhinoplasty with the Bullhorn lip lift, a method that potentially offers a more harmonious and balanced approach to facial aesthetics.
Methods
This prospective cohort study involved female patients undergoing concurrent open structured precision rhinoplasty and Bullhorn lip lift. Patients were carefully selected based on specific criteria to ensure suitability for both procedures. Surgical techniques were standardized, focusing on key aesthetic areas and patient-specific concerns. Postoperative outcomes were assessed using the NOSE scale and the Rhinoplasty Outcome Evaluation (ROE) questionnaire, alongside a systematic documentation of complications.
Results
The prospective cohort study demonstrated promising results in achieving youthful facial harmony, with an average procedure time of 232 min. Postoperative assessments indicated significant improvement in nasal breathing and high patient satisfaction in aesthetic outcomes. Complications were minimal and predominantly involved expected early postoperative symptoms. The integration of rhinoplasty and lip lift techniques revealed a delicate balance between nasal and lip enhancements, contributing to an overall natural facial rejuvenation.
Conclusions
The combined approach of simultaneous precision rhinoplasty with Bullhorn lip lift presents a viable and effective strategy for comprehensive facial rejuvenation. This preliminary study suggests enhanced outcomes in facial harmony and patient satisfaction, with minimal complications. Further research with larger cohorts and extended follow-up is required to validate these findings and refine the technique.
Level of evidence
Level III, Therapeutic.
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Data availability
Data and material are available upon reasonable request.
Abbreviations
- CT:
-
Computed tomography
- NOSE:
-
Nasal Obstruction Symptom Evaluation scale
- ROE:
-
Rhinoplasty Outcome Evaluation questionnaire
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Acknowledgements
The study was conducted as a result of 3 scientific attachments of the Scholarship of the Plastic Surgery Foundation awarded in 2018, American Society of Plastic Surgery, Chicago, IL, USA (Dallas Plastic Surgery Institute, Dallas, TX, 2019; St. John’s Medical Plaza, Santa Monica, Los Angeles, CA, 2019; Rady Rahban Plastic Surgery, Beverly Hills, Los Angeles, CA, 2019; Mercy Hospital, Miami, FL, 2019; Mivip Surgery Center, Miami, FL, 2019). The study has been accepted for oral presentation at The Meeting of the American Society of Plastic Surgeons 2024 in San Diego, CA, USA.
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P.S. contributed to each aspect of the research personally.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Ethical Committee of the Polish Mother’s Memorial Hospital Research Institute, Lodz, Poland.
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Szychta, P. Simultaneous precision rhinoplasty and lip lift for enhanced youthful facial harmony. Eur J Plast Surg 47, 37 (2024). https://doi.org/10.1007/s00238-024-02173-6
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DOI: https://doi.org/10.1007/s00238-024-02173-6