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Paranasal Augmentation Using Diced Costal Cartilage for Midface Concavity: A Retrospective Study of 68 Patients

Aesthetic Plastic Surgery volume 46, pages 795–802 (2022)Cite this article

Abstract

Background

Paranasal augmentation was effective management for midface concavity. Both alloplastic graft (e.g. silicone, porous polyethylene, or expanded polytetrafluorethylene) and autologous tissue (e.g. costal cartilage) were used for paranasal augmentation. The study aims to evaluate the safety and efficacy of paranasal augmentation using diced costal cartilage for midface concavity.

Methods

A retrospective review of demographic data and complications was conducted for consecutive patients who underwent paranasal augmentation using diced costal cartilage. A questionnaire was used for investigating the patient’s satisfaction (i.e. overall satisfaction, bilateral alar bases symmetry, improvement of concavity, and foreign body sensation). Patients’ photographs were used to evaluate aesthetic outcomes (i.e. overall satisfaction, bilateral alar bases symmetry, and improvement of concavity) by third-party doctors.

Results

Sixty-eight patients (60 females; mean age, 27.1 ± 8.2 years) were included. During a median follow-up of 6.5 months, costal cartilage migration occurred in 13 (19.1%) patients and partial resorption occurred in 2 (2.9%) patients. Seventy-five per cent of the patients and 98.5% of the doctors reported overall satisfaction. Bilateral alar bases asymmetry by 20 (29.4%) patients, no improvement of concavity by 13 (19.1%) patients, and foreign body sensation by 13 (19.1%) patients were reported. While bilateral alar bases asymmetry was not reported, improvement of concavity was reported in 67 (98.5%) patients by third-party doctors. On both univariate and multivariate analyses, improvement of concavity was significantly associated with patients’ overall satisfaction (p = 0.008 and 0.045, respectively), while bilateral alar bases symmetry and foreign body sensation were not (all p > 0.05).

Conclusions

Paranasal augmentation using diced costal cartilage seems a safe and effective method for midface concavity. Improvement of concavity may be significantly associated with patients’ overall satisfaction.

Level of Evidence IV

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Acknowledgements

We would like to thank the patients for providing consent for the publication of these cases.

Funding

This study was funded by the Foundation of the Chinese Academy of Medical Sciences-Plastic Surgery Hospital (3060120043).

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Authors and Affiliations

  1. The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China

    Wenfang Dong, Yihao Xu, Ruobing Zheng & Fei Fan

  2. Nanfang Hospital, Southern Medical University, No.1838 North Guangzhou Avenue, Baiyun District, Guangzhou, 510515, China

    Ri Han

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  1. Wenfang Dong
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Contributions

WD is responsible for the design of the study, acquisition of data, analysis, and interpretation of data and drafting the manuscript. YX and RZ participated in the discussion and revision of the manuscript. RH participated in artworks production and revision of the manuscript. FF is responsible for designing the study, revising the manuscript and final approval of the version to be published.

Corresponding author

Correspondence to Fei Fan.

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The authors declare that there is no conflict of interest regarding the publication of the paper.

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All procedures performed in studies involving the human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Dong, W., Xu, Y., Han, R. et al. Paranasal Augmentation Using Diced Costal Cartilage for Midface Concavity: A Retrospective Study of 68 Patients. Aesth Plast Surg 46, 795–802 (2022). https://doi.org/10.1007/s00266-021-02593-w

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  • DOI: https://doi.org/10.1007/s00266-021-02593-w

Keywords

  • Midface concavity
  • Paranasal augmentation
  • Diced costal cartilage
  • Rhinoplasty