Abstract
Background
Rhinoplasty is one of the most widely conducted and challenging types of aesthetic surgical operations, and dorsal hump reduction is a commonly performed aesthetic surgery among Caucasian patients. Dorsal hump resection is traditionally conducted by removing the dorsal nasal bone and cartilage. The push-down and let-down techniques are used for dorsal preservation in dorsal hump reduction operations. Different patients require different approaches to achieve the best results in terms of aesthetic appearance and functionality.
Objectives
In the present research, the author describes two novel approaches that combine the push-down and let-down techniques for appropriate patients.
Methods
The records of 45 patients (40 females and 5 males) were assessed, and those who were eligible for the present approaches were included. The author defined two approaches in which the push-down and let-down techniques were used simultaneously (mix-down methods). All patients included in the study completed the Rhinoplasty Outcome Evaluation (ROE) questionnaire before surgery and at their one-year follow-up appointment.
Results
The median ROE scores were 60.1 points before surgery and 92.2 points one year after surgery; this difference was statistically significant (p<0.001).
Conclusions
The present study is the first to demonstrate the beneficial effects of combining the push-down and let-down techniques in a selected patient population. These new approaches will improve both cosmetic and functional outcomes and allow surgeons to choose the best option for patients who are eligible for these mix-down approaches.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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Change history
11 January 2021
A Correction to this paper has been published: https://doi.org/10.1007/s00266-020-02107-0
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demonstrates the stages of the operation. Supplementary file1 (MP4 46580 kb)
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Öztürk, G. Combination of the Push-Down and Let-Down Techniques: Mix-Down Approaches. Aesth Plast Surg 45, 1140–1149 (2021). https://doi.org/10.1007/s00266-020-02012-6
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DOI: https://doi.org/10.1007/s00266-020-02012-6