Application of Trans-Areola Approach for Costal Cartilage Harvest in Asian Rhinoplasty and Comparison with Traditional Approach on Donor-Site Morbidity.

Application of Trans-Areola Approach for Costal Cartilage Harvest in Asian Rhinoplasty and Comparison with Traditional Approach on Donor-Site Morbidity.:

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Application of Trans-Areola Approach for Costal Cartilage Harvest in Asian Rhinoplasty and Comparison with Traditional Approach on Donor-Site Morbidity.

Aesthet Surg J. 2020 Jan 21;:

Authors: Zhao R, Pan B, Lin H, Long Y, An Y, Ke Q

Abstract

BACKGROUND: Traditional approach using chest wall incision for costal cartilage harvest can result in significant donor-site morbidity and usually cause notable scars on Asians. This has become the main concern for Asian females who are seeking rhinoplasty with autologous costal cartilage.

OBJECTIVES: To investigate the donor-site morbidity of the trans-areola approach for costal cartilage harvest in Asian rhinoplasty and to compare it with the traditional approach.

METHODS: Patients' records were reviewed for whom underwent rhinoplasty with either trans-areola or traditional approach for costal cartilage harvest. Donor-site morbidity was evaluated via the Visual Analog Scale (VAS) and the Modified Vancouver Scar Scale Score (MVSS) 1 year postoperatively. Long-term complications of the trans-areola group were assessed with a minimum of 6 months follow-up after surgery.

RESULTS: There were 26 females in the trans-areola group and 35 females in the traditional group with a similar age and Body Mass Index (BMI) range. Compared with the traditional group, the trans-areola group had a significant longer surgery time and a higher pneumothorax rate (7.7% vs 2.9%) but a significantly better scar quality and a higher overall satisfaction. Long-term outcomes and complications of the trans-areola group included significant scars (2/26, 7.7%), concavity of the breast (1/26, 3.8%), and local chest pain/discomfort (1/26, 3.8%).

CONCLUSIONS: Compared with the traditional approach for costal cartilage harvest in Asian rhinoplasty, patients who underwent the trans-areola approach had less overall donor-site morbidity and higher overall satisfaction. We recommend this technique to patients who meet the inclusion criteria as well as those seeking a better cosmetic outcome.

PMID: 31960891 [PubMed - as supplied by publisher]