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Rhinoplasty with Simultaneous Autologous Full-Face Fat Transfer for Asian Facial Contouring Balance: A Retrospective Study

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  • Rhinoplasty
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Abstract

Background

The aesthetic facial contouring procedures have gained an increasing popularity in the Asian population. Nevertheless, currently, there are few specific literature assessments and studies on the outcomes of rhinoplasty combined with full-face fat graft contouring. To conduct an objective evaluation of the efficacy of Asian rhinoplasty combined with autologous facial fat transfer in terms of 3-dimensional measurement and patient-reported outcomes.

Methods

Patients who underwent rhinoplasty combined with full-face fat transfer for facial contouring between January 2016 and July 2019 were recruited in the study. The preoperative and postoperative clinical variables and 3-dimensional measurement of patients were also collected. The satisfaction outcome of surgeons and patients was assessed.

Results

Twenty patients completed rhinoplasty with full-face fat transfer. The average postoperative follow-up was 10.2 months (range 6–24 months). The nasal length, and the nasal protrusion rate were significantly increased (p < 0.05) after surgery, and the median number of nasolabial angles decreased from 106° to 101°, which was closer to the aesthetic standard of 90°–100°. The topographical projection images of whole face indicated that the volume of frontal, temporal, inner cheek and chin regions were increased obviously. All cases received satisfaction outcome based on surgeons’ satisfaction scale, ROE scale, FACE-Q overall facial satisfaction scale, and FACE-Q Rhinoplasty scale. Additionally, no patients had intraoperative or postoperative complications.

Conclusions

Rhinoplasty combined with full-face fat transfer is a reliable and effective method of augmenting and contouring the facial convexity in the Asian populations.

Level of Evidence IV

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

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Acknowledgements

None.

Funding

This work was supported by Key Clinical Projects of Peking University Third Hospital (No. BYSYZD2019013) and the Scientific Research Staring Foundation for the Returned Overseas Chinese Scholars, Peking University Third Hospital (No. BYSYLXHG2019001).

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Author notes

  1. Yang An, Guanhuier Wang, Xiao Li these authors contributed equally and were co-first-authors.

Authors and Affiliations

  1. Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China

    Yang An, Guanhuier Wang, Xiao Li, Yonghuan Zhen, Jianfang Zhao & Dong Li

Authors
  1. Yang An
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  2. Guanhuier Wang
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  3. Xiao Li
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  4. Yonghuan Zhen
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  6. Dong Li
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Corresponding authors

Correspondence to Yang An or Dong Li.

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Conflict of interest

The authors declare no competing financial interests.

Ethical Statement

Our experiments were in accordance with the ethical standards formulated in the Helsinki Declaration. The research procedures were approved by the Medical Science Research Ethics Committee of the Third Hospital of Peking University (Ethical Approval Number: IRB00006761-M2020238).

Informed Consent

Consent was obtained from the participants responding to the follow-up surveys.

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Patients provided written consent for the use of their images.

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Supplementary Information

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Operation video of full-face fat transfer, including forehead, temporal, eyebrow, inner cheek, and chin (MOV 10211 KB)

Operation video of rhinoplasty using autologous costal cartilage combined with ePTFE (MOV 9730 KB)

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An, Y., Wang, G., Li, X. et al. Rhinoplasty with Simultaneous Autologous Full-Face Fat Transfer for Asian Facial Contouring Balance: A Retrospective Study. Aesth Plast Surg 47, 746–756 (2023). https://doi.org/10.1007/s00266-022-03064-6

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  • DOI: https://doi.org/10.1007/s00266-022-03064-6

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