Bhat Uday, Peswani Amit, S Aneesh, Hosamani Aravind S, Pawar Mangesh, Raut Sushrut, Mirajkar Girish, Mistry Pooja
Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India.
Tamira Aesthetic Healthcare & Lifestyle Pvt Ltd, Chennai, Tamil Nadu, India.
Indian J Plast Surg. 2024 Jun 20;57(6):447-454. doi: 10.1055/s-0044-1787678. eCollection 2024 Dec.
Convincing a patient who has undergone any aesthetic surgery to come for a long-term follow-up is extremely difficult. The result obtained after rhinoplasty usually stabilizes in the first year and it is unlikely to change after 2 years. The precision carving technique described in 2014 has been employed by us for the last several years. We wish to present long-term results (at least 2 years) obtained using this technique, now renamed as "Nair Hospital Precision Carving technique." The unfavorable effects of warping are most apparent in the dorsum. So, we have chosen to assess results of dorsal onlay grafts only. This article presents the long-term results obtained using favorable warping technique. We have followed up 45 patients in whom dorsal augmentation was done using rib grafts for various indications like aesthetic, reconstructive rhinoplasty and cleft lip nasal deformity. Grafts were carved using the precision carving technique. All patients were assessed at 6 weeks, 6 months, and at subsequent follow-up period of 2 to 10 years and photographs were taken at each visit. There was no major complication and all patients were satisfied with the appearance. The Nair Hospital Precision Carving technique utilizes unbalanced yet controlled and precise carving to achieve a variety of natural shapes for the objectives of contour fill and framework reconstruction in rhinoplasty, thus ensuring good long-term results.
说服接受过任何美容手术的患者前来进行长期随访极其困难。隆鼻术后的效果通常在第一年趋于稳定，两年后不太可能改变。我们在过去几年一直采用2014年描述的精确雕刻技术。我们希望展示使用这种技术（现更名为“奈尔医院精确雕刻技术”）获得的长期结果（至少两年）。翘曲的不良影响在鼻背最为明显。因此，我们选择仅评估鼻背嵌体移植的结果。本文展示了使用有利翘曲技术获得的长期结果。我们对45例因美容、重建性隆鼻和唇裂鼻畸形等各种适应症而使用肋软骨移植进行鼻背增高的患者进行了随访。移植体采用精确雕刻技术雕刻。所有患者在6周、6个月以及随后2至10年的随访期进行评估，每次就诊时均拍照。未出现重大并发症，所有患者对外观均满意。奈尔医院精确雕刻技术利用不平衡但可控且精确的雕刻，在隆鼻术中实现各种自然形状，以达到轮廓填充和支架重建的目的，从而确保良好的长期效果。
