Newport Beach, Calif.
Plast Reconstr Surg. 2009 Nov;124(5):1630-1639. doi: 10.1097/PRS.0b013e3181babc95.
Middle Eastern rhinoplasty is becoming more frequent in the United States. Mature patients request a more refined, feminine nose, whereas younger patients (aged 15 to 25 years) want a smaller, "cuter" nose.
The author completed a prospective study of 50 consecutive female primary Middle Eastern rhinoplasty patients. The presenting anatomy, including the alar anatomy, and selected surgical techniques and their variations for particular cases were recorded.
The majority of patients requested and received a significant change in their nasal appearance. Of the 40 patients followed for 18 months, three (7.5 percent) had revisions, two minor and one moderate. There were no functional complaints.
The author emphasizes the need for structure throughout the nose, with use of both spreader grafts and columellar struts, to support the large and often heavy skin sleeve. Tip suture techniques, with or without tip grafts, are highly effective and there is no need for destructive tip techniques.
在 美国，中东鼻整形术越来越普遍。成熟的患者要求更精致、更女性化的鼻子，而年轻患者（15 至 25 岁）则希望鼻子更小、更“可爱”。
作者对 50 例连续的中东女性初次鼻整形患者进行了前瞻性研究。记录了患者的主要解剖结构，包括鼻翼解剖结构，以及特定病例中选择的手术技术及其变化。
大多数患者要求并获得了显著改变其鼻部外观的效果。在随访 18 个月的 40 名患者中，有 3 名（7.5%）需要进行修复，其中 2 例为小修复，1 例为中度修复。没有功能投诉。
作者强调需要在整个鼻子中构建结构，使用鼻中隔扩张器移植物和鼻中隔支撑物，以支撑大而通常较重的皮肤袖套。鼻尖缝合技术，无论是否使用鼻尖移植物，都非常有效，并且不需要破坏性的鼻尖技术。
