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CC BY-NC-ND 4.0 · Indian J Plast Surg 2024; 57(06): 447-454
DOI: 10.1055/s-0044-1787678
Original Article

Long-Term Results Using “Nair Hospital Precision Carving” Technique of Rhinoplasty

Uday Bhat
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Amit Peswani 
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Aneesh S. 
2   Tamira Aesthetic Healthcare & Lifestyle Pvt Ltd, Chennai, Tamil Nadu, India
,
Aravind S. Hosamani 
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Mangesh Pawar
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Sushrut Raut
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Girish Mirajkar 
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
,
Pooja Mistry
1   Department of Plastic Surgery, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Mumbai, Maharashtra, India
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Abstract

Background and Objectives 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.

Materials and Methods 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.

Results 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.

Conclusion 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.

Keywords

rhinoplasty - precision carving technique - dorsal onlay graft - nair hospital - aesthetic surgery - framework reconstruction - contour fill

Note

The study was done in adherence to the Declaration of Helsinki protocol. Proper preprocedure consents were taken for surgery, documentation, and research purposes. Data storage was performed inconsistence with good clinical practice guidelines.


Authors' Contributions

U.B., A.P., A.H., A.S., and M.P. performed the surgeries. A.P., A.H., and A.S. wrote the manuscript. G.M., S.R., and P.M. collected the data.




Publication History

Article published online:
20 June 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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