Facial Plastic Surgery最新文献

{"title":"Preoperative Visual Field Patterns Associated with Selection for Concurrent Eyelid and Brow Ptosis Repair.","authors":"Eli Stein, Ilexa Schechter, Celestine H Gregerson, Kevin Heinze, Kyle Godfrey, Gary J Lelli, Anthony P Sclafani","doi":"10.1055/a-2949-3531","DOIUrl":"10.1055/a-2949-3531","url":null,"abstract":"<p><strong>Introduction: </strong>Determining when to perform combined eyelid and brow surgery for functional deficits remains subjective, despite measurable visual field (VF) impairment in affected patients.</p><p><strong>Objectives: </strong>We sought to identify VF patterns associated with selection for combined eyelid-brow surgery.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Patients with preoperative Humphrey Visual Field testing undergoing isolated eyelid surgery or combined eyelid-brow surgery for VF deficits were matched 1:2 by demographic and surgical characteristics. VF patterns were analyzed using generalized estimating equations.</p><p><strong>Results: </strong>Among 171 patients, the mid-temporal VF zone was the only independent predictor of combined-repair selection on multivariable analysis (OR = 1.38 per dot missed, 95% CI: 1.06-1.81, <i>p</i> = 0.018). Combined repair was also independently associated with lower odds of need for revision surgery (OR = 0.31, 95% CI: 0.10-0.97, <i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>The mid-temporal VF may serve as a marker of brow-related visual obstruction, helping guide selection for combined eyelid-brow surgery in functional blepharoptosis.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Looking to the Future: How Will Personalised Medicine Impact Facial Plastic Surgery.","authors":"Alexander Scott North, Anil Joshi","doi":"10.1055/a-2946-5685","DOIUrl":"https://doi.org/10.1055/a-2946-5685","url":null,"abstract":"<p><strong>Aims and backgrounds: </strong>The objectives of this study are to examine the emerging role of personalized medicine in facial plastic surgery and to consider how biologically, anatomically, and psychologically tailored approaches may refine both aesthetic and reconstructive care.</p><p><strong>Historical aspects: </strong>Facial plastic surgery has traditionally relied on anatomical principles, surgical expertise, and population-based evidence. Personalized medicine represents a shift toward more individualized care by incorporating patient-specific biological and phenotypic variation into clinical decision-making.</p><p><strong>Anatomy: </strong>Facial plastic surgery is uniquely dependent on subtle anatomical variation, soft tissue characteristics, wound healing behavior, and age-related change. These factors differ considerably between individuals and have a direct impact on both surgical planning and outcomes.</p><p><strong>Technology: </strong>Advances in genomics, pharmacogenomics, artificial intelligence, tissue engineering, and three-dimensional modelling are expanding the scope of personalized care. These technologies may improve prediction of healing, treatment response, complication risk, and reconstructive requirements.</p><p><strong>Patient selection: </strong>Personalized medicine may support more accurate patient selection by identifying those at increased risk of adverse scarring, variable response to injectables or pharmacotherapy, or differential reconstructive needs, thereby improving counselling and expectation management.</p><p><strong>Techniques: </strong>Potential applications include tailored incision planning, individualized facial rejuvenation strategies, personalized perioperative pharmacological regimens, and patient-specific reconstructive scaffolds, grafts, and implants.</p><p><strong>Postoperative care: </strong>Postoperative management may also become more individualized through better prediction of inflammatory response, scar formation, analgesic requirements, and recovery trajectory, allowing more precise surveillance and adjunctive treatment.</p><p><strong>Current and future development: </strong>Although many applications remain investigational, continued progress in regenerative medicine, molecular profiling, and predictive analytics is likely to accelerate clinical translation. Ethical challenges relating to privacy, bias, and equitable access must, however, remain central.</p><p><strong>Conclusion and clinical relevance: </strong>Personalized medicine has the potential to enhance precision, safety, and patient-centered care in facial plastic surgery. Its future value will depend on thoughtful integration into practice as an adjunct to, rather than a replacement for, surgical judgement and aesthetic insight.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Botox Complications and Satisfaction Outcomes Following Botulinum Toxin Type A Facial Injections: A Prospective Study of 2,012 Procedures in 489 Patients.","authors":"Raul Daniel Chioibaș, Dan Lolos, Andreea Raissa Hojda, Bogdan Antonio Lolos, Jonathan Sykes","doi":"10.1055/a-2945-2316","DOIUrl":"https://doi.org/10.1055/a-2945-2316","url":null,"abstract":"<p><strong>Introduction: </strong>Botulinum toxin type A is widely used for facial rejuvenation, but prospective real-world data integrating safety and patient-reported outcomes (PROs) remain limited.</p><p><strong>Objectives and hypotheses: </strong>To evaluate complication rates, patient satisfaction, and predictors of satisfaction following standardized upper-face injections.</p><p><strong>Study design: </strong>Prospective, single-center cohort study.</p><p><strong>Methods: </strong>A total of 489 patients undergoing 2,012 procedures were treated using a standardized protocol. Clinically significant complications were recorded over 4 weeks. PROs were assessed using a customized 20-item questionnaire.</p><p><strong>Results: </strong>The per-patient complication rate was 13.1%, while the per-procedure rate was 3.3%. Most complications were mild and resolved without sequelae. Overall, 94.1% of patients reported improvement, and 79.6% achieved ≥ 9/10 satisfaction. Younger age, female sex, and lower complication severity were associated with higher satisfaction.</p><p><strong>Conclusion: </strong>Standardized botulinum toxin protocols provide low complication rates and high patient satisfaction. Combined reporting of safety and PROs supports reproducible and clinically relevant evaluation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Slice Extension Graft: A Cartilage-Preserving Modification of the Septal Extension Graft.","authors":"Carlos Alberto Caropreso, Jose Luiz Teixeira Rodrigues, Jose Maria Astudillo, Rafael Porpino, Ingrid Helena Ciancio, Jose Carlos Neves","doi":"10.1055/a-2940-5404","DOIUrl":"10.1055/a-2940-5404","url":null,"abstract":"<p><strong>Introduction: </strong>Septal extension grafts (SEGs) are widely used in structural rhinoplasty to provide stable control of nasal tip projection and rotation. However, conventional fixation methods may increase cartilage consumption, intranasal bulk, and the potential for asymmetry. The Slice Extension (SE) graft was developed as a cartilage-preserving modification of the SEG that maintains graft continuity while creating an embracing fixation pattern around the caudal septum.</p><p><strong>Objective and hypothesis: </strong>The objective of this study is to describe the SE graft and evaluate its clinical performance in a case series of patients undergoing rhinoplasty. We hypothesized that the SE graft would provide stable nasal tip support while preserving cartilage length and maintaining graft centralization.</p><p><strong>Study design: </strong>This is a retrospective case series.</p><p><strong>Methods: </strong>Forty-one patients undergoing primary or secondary rhinoplasty with the SE graft between 2023 and 2026 were included. Minimum follow-up was 12 months. Demographic data, postoperative complications, revision procedures, and patient-reported satisfaction were reviewed. Outcomes included tip deviation, overrotation, nostril asymmetry, nasal obstruction, infection, and fixation-related instability.</p><p><strong>Results: </strong>Forty-one patients were included in the study, comprising 18 male and 23 female patients. Mean age was 31.3 ± 8.8 years (range, 18-53). At 12-month follow-up, 36 patients (87.8%) reported satisfaction with nasal tip appearance and support. Revision surgery related to nasal tip appearance was required in two patients (4.8%), including one minor and one major revision procedure. Postoperative complications were infrequent. No cases demonstrated clinically significant fixation failure or loss of nasal tip support during the follow-up period.</p><p><strong>Conclusion: </strong>The SE graft provided predictable control of nasal tip projection and rotation with acceptable complication and revision rates. By preserving graft continuity and minimizing cartilage loss for fixation, the technique may offer a reproducible alternative to conventional SEG fixation in selected patients.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148790184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Lateral Crura Deformity in Functional and Aesthetic Rhinoplasty: Classification, Surgical Algorithm, and Outcome-Based Approach.","authors":"Sunil Tanvar, Rajveer Basu","doi":"10.1055/a-2940-5266","DOIUrl":"10.1055/a-2940-5266","url":null,"abstract":"<p><strong>Introduction: </strong>The lateral crura of the lower lateral cartilages are crucial in tip rhinoplasty. Their deformity or malposition causes aesthetic imbalance, alar insufficiency, and functional airway compromise.</p><p><strong>Objectives and hypotheses: </strong>The objective of this study is to describe a classification system for lateral crura deformity and evaluate the outcomes of a structured surgical management algorithm.</p><p><strong>Study design: </strong>This is a retrospective-prospective study.</p><p><strong>Methods: </strong>This study included patients undergoing primary or revision rhinoplasty involving lateral crural intervention between 2022 and 2025. Outcomes were assessed using standardized photographic analysis, a 5-point Likert scale for patient satisfaction, and the Nasal Obstruction Symptom Evaluation (NOSE) scale for valve stability.</p><p><strong>Results: </strong>This study included 50 patients (primary: 80%, revision: 20%). The mean follow-up was 14.2 months (range: 6-24). The mean preoperative NOSE score improved. Patient satisfaction scores were high, 90% of patients reported significant improvement in both aesthetic and functional outcomes, and two patients (4%) required revision surgery for minor asymmetry correction.</p><p><strong>Conclusion: </strong>Lateral crural deformity management should prioritize preservation and restoration over excessive excision. An algorithmic, preservation-based approach improves predictability, airway stability, and long-term nasal tip support. Modern management should focus on repositioning, reinforcement, and reconstruction.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148790162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Ballerina Maneuver: A Lateral Keystone Release Technique in Preservation Rhinoplasty.","authors":"Abdulkadir Goksel, Goknil Gultekin, Yves Saban","doi":"10.1055/a-2905-6691","DOIUrl":"10.1055/a-2905-6691","url":null,"abstract":"<p><strong>Introduction: </strong>Preservation rhinoplasty (PR) aims to maintain the natural dorsal aesthetic lines while reducing dorsal height and achieving a harmonious dorsal contour. Creating a refined dorsal concavity may be challenging, particularly in patients with low-to-moderate humps who desire a more elegant dorsal profile while preserving the structural integrity of the native dorsum. The Ballerina maneuver was developed as an adjunctive technique designed to enhance dorsal concavity.</p><p><strong>Objectives & hypotheses: </strong>The aim of this study was to describe the Ballerina maneuver and illustrate its role in refining dorsal contour in PR. We hypothesized that this maneuver would allow controlled enhancement of dorsal concavity while maintaining dorsal stability and supporting harmonious dorsal aesthetics.</p><p><strong>Study design: </strong>Technical description of a surgical maneuver.</p><p><strong>Methods: </strong>The Ballerina maneuver was performed as an adjunctive step during PR in selected patients seeking a more concave dorsal profile. The technique focused on controlled modification of the middle vault structures while preserving the continuity of the native dorsum. The surgical concept, technical steps, and key considerations were described to facilitate safe and reproducible application. Representative clinical cases were presented to illustrate the surgical application of the maneuver and its role in dorsal contour refinement.</p><p><strong>Results: </strong>In the representative cases, the maneuver facilitated controlled caudal repositioning of the osseocartilaginous vault and contributed to a smoother, more concave dorsal contour while preserving the continuity of the native dorsum.</p><p><strong>Conclusion: </strong>The Ballerina maneuver represents a reproducible adjunctive technique for refining dorsal contour in PR. By enabling controlled enhancement of dorsal concavity while maintaining the integrity of the native dorsal framework, the maneuver supports the core principles of structural preservation and may expand the surgical armamentarium for achieving natural dorsal contour refinement.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Clinical Application of a Thermally Reconstructed Platelet-Rich Plasma Concentrate-Based Biofiller (ExoFiller).","authors":"Ali Nurhan Özbaba, Cansen Yeni Kut, Kemal Tunç Tiryaki, Steven R Cohen, Naz Unal, Yaren Kul, Ceren Duyan, Serli Canikyan","doi":"10.1055/a-2925-9527","DOIUrl":"https://doi.org/10.1055/a-2925-9527","url":null,"abstract":"<p><strong>Aims and background: </strong>Autologous plasma-based fillers have gained interest in regenerative aesthetics as biologically active alternatives to conventional dermal fillers. However, conventional PRP-Gel formulations may be limited by rapid degradation, variable bioactivity, and insufficient structural persistence. This study aimed to evaluate ExoFiller, an activated and concentrated platelet-rich plasma (PRP)-based biofiller, in comparison with conventional PRP-Gel.</p><p><strong>Technology: </strong>ExoFiller was prepared through controlled mechanical activation, concentration, filtration, and thermal restructuring of PRP to combine platelet-derived bioactive mediators with structural plasma proteins in a filler matrix.</p><p><strong>Patient selection: </strong>A pilot clinical application was performed in 20 patients aged 20 to 65 years presenting with facial volume loss, scarring, or aesthetic rejuvenation demands. Patients were evaluated by dermatological examination and medical history screening before treatment.</p><p><strong>Techniques: </strong>ExoFiller and PRP-Gel were assessed using swelling behavior analysis, degradation analysis, in vitro cytocompatibility testing with human dermal fibroblasts, cytokine microarray analysis, and preliminary clinical evaluation.</p><p><strong>Post operative care: </strong>Patients were advised to avoid excessive facial manipulation, heat exposure, strenuous exercise, and additional aesthetic procedures immediately after treatment.</p><p><strong>Current and future development: </strong>ExoFiller demonstrated improved swelling capacity, slower degradation, favorable fibroblast viability, and increased levels of regenerative mediators compared with PRP-Gel. Preliminary clinical observations suggested improvements in facial volume, contour, and skin quality without adverse effects.</p><p><strong>Conclusion and clinical relevance: </strong>ExoFiller showed improved stability, cytocompatibility, and regenerative potential compared with conventional PRP-Gel. By integrating structural plasma proteins with platelet-derived bioactive components, this approach may provide a biocompatible and durable autologous option for soft tissue augmentation and aesthetic tissue regeneration.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcomes of Dorsal Preservation Rhinoplasty: A Systematic Review and Meta-analysis.","authors":"Chelsea Chan, Alexander Scott North, Hamid Reza Khademi Mansour, Yves Saban, Anil Joshi","doi":"10.1055/a-2927-6789","DOIUrl":"10.1055/a-2927-6789","url":null,"abstract":"<p><strong>Introduction: </strong>Preservation rhinoplasty is an increasingly popular alternative to structural rhinoplasty. However, concerns remain regarding potential nasal airway narrowing and the limited availability of objective postoperative functional data.</p><p><strong>Objectives and hypotheses: </strong>To review and analyze current studies assessing functional outcomes of preservation rhinoplasty, with or without comparison to structural rhinoplasty.</p><p><strong>Study design: </strong>Systematic review and meta-analysis of functional outcomes in preservation rhinoplasty.</p><p><strong>Methods: </strong>A comprehensive database search identified studies using key words. Eligible studies that were included reported original quantitative data using validated functional outcome measures (NOSE, SCHNOS-O, VAS-F, SNOT-22, or rhinometry).</p><p><strong>Results: </strong>A total of 22 studies (<i>n</i>  =  2,058) met inclusion criteria. Controlled studies showed no significant difference between preservation and structural rhinoplasty outcomes, while uncontrolled studies demonstrated postoperative improvement from baseline.</p><p><strong>Conclusion: </strong>Preservation and structural rhinoplasty yield comparable functional results, both significantly improving validated patient-reported outcome measures.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Results of Fashioned Costal Cartilage Block as Interpositional Graft for Large Septal Perforations Closure.","authors":"Salih Aydın, Burak Karabulut, Erkan Bayram, Betül Özkan, Furkan Bünyamin Budak","doi":"10.1055/a-2928-0679","DOIUrl":"10.1055/a-2928-0679","url":null,"abstract":"<p><strong>Introduction: </strong>Large nasal septal perforations (NSPs; ≥2 cm) remain a significant surgical challenge with lower closure rates than smaller defects.</p><p><strong>Objectives and hypotheses: </strong>We hypothesize that a fashioned costal cartilage neo-septal block used as an interpositional graft can achieve both anatomical and functional closure in large NSPs.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Methods: </strong>A total of 26 patients underwent NSP closure using a neo-septal block graft prepared by sagittal splitting of costal cartilage slices sutured into a watertight structure, covered with bilateral unipedicled rotational flaps.</p><p><strong>Results: </strong>The mean perforation size was 27.5 × 16.4 mm, with a mean follow-up of 44.4 months. Anatomical closure was achieved in 22 patients (84.6%). In cases without complete closure, symptoms including crusting, bleeding, nasal obstruction, and whistling resolved.</p><p><strong>Conclusion: </strong>The neo-septal block graft is effective and reliable for large NSP repair, particularly when complete tension-free flap closure is not achievable, providing both anatomical and functional improvement.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closed Approach Rib Revision Rhinoplasty.","authors":"Sercan Göde, Veysel Berber","doi":"10.1055/a-2927-4470","DOIUrl":"https://doi.org/10.1055/a-2927-4470","url":null,"abstract":"<p><strong>Aims and background: </strong>Revision rhinoplasty remains one of the most challenging procedures due to scar tissue, distorted anatomy, and depletion of septal cartilage. Advanced structural and soft-tissue reconstruction strategies are often required in complex revision cases. This study aimed to evaluate the functional and aesthetic outcomes of extended closed rib revision rhinoplasty.</p><p><strong>Anatomy: </strong>Patients presented with severe anatomical distortions, including overresected dorsum, short nose with contracted skin envelope, septal or retrocolumellar perforation, columellar necrosis, congenital deformities, and sequelae of artificial graft removal.</p><p><strong>Patient selection: </strong>This retrospective cohort study included 700 revision rhinoplasty patients treated between 2022 and 2024. Inclusion criteria were at least one prior nasal surgery, the need for costal cartilage grafting, and a minimum follow-up of 6 months.</p><p><strong>Techniques: </strong>All patients underwent extended closed rhinoplasty with costal cartilage reconstruction. Tailored grafting and flap techniques were applied according to deformity patterns. Outcomes were assessed using pre- and postoperative SCHNOS scores, with paired statistical analyses performed (<i>p</i> < 0.05).</p><p><strong>Conclusion and clinical relevance: </strong>Mean SCHNOS total scores improved significantly from 44.2 ± 5.8 to 17.8 ± 6.2 (<i>p</i> < 0.001). The overall revision rate was 14.2%. Extended closed rib revision rhinoplasty provides a reliable and effective alternative to open approaches in complex revision cases.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148711797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}