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Aesthet Surg J. 2020 Jan 20;:
Authors: Calvert JW, Rovelo MO, Orlando MV, Kwon E
Abstract
BACKGROUND: Autologous costal cartilage is frequently required for revision rhinoplasties and for challenging primary rhinoplasties. Patients undergoing a concomitant breast surgery can have costal cartilage harvested through their breast surgery incisions, thereby obviating an additional rib harvest scar. The safety and efficacy of this approach has yet to be described.
OBJECTIVES: This study describes a new technique for harvesting costal cartilage during a concomitant breast operation. The goal is to evaluate the outcomes, safety, and results of this combined technique. Specifically, the rates of capsular contracture and rhinoplasty revisions is of great interest.
METHODS: A retrospective review was performed evaluating the senior author's experience with this technique. Data collected included patient demographics, operations performed, operative time, perioperative morbidity, and postoperative complications. Rates of capsular contracture and rhinoplasty revisions were compared to national averages.
RESULTS: A total of 31 female patients were included. There was a total of 10 (32.3%) breast complications. There was a total of 6 (19.4%) rhinoplasty complications, including one infection and 5 revisions. There was a 6% rate of capsular contracture and the rhinoplasty revision rate was 16%. Both of these rates are comparable to independent breast surgeries and rhinoplasties. There were no cases of perioperative mortality or major morbidity.
CONCLUSIONS: Combining breast surgery and rhinoplasty surgery allows for autologous rib harvest through the breast surgery incisions. This is a safe technique that results in outcomes similar to either procedure performed alone. In addition, the patient is spared an additional surgery and donor site scar.
PMID: 31957807 [PubMed - as supplied by publisher]
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