Histological and Anthropometric Changes in the Aging Nose.

Abstract:

BACKGROUND:Rhinoplasty in the elderly requires different surgical approaches due to the morphological and structural changes affecting the nose over time. OBJECTIVES:In this study, the authors aimed to evaluate the age-related cellular and architectural changes of nasal cartilages and soft tissue attachments. METHODS:This prospective study included 80 patients who underwent rhinoplasty. Patients were divided into 2 groups according to age. Group I included 40 patients ranging in age from 19 to 39 years. Group II included 40 patients aged at least 40 years. Samples from nasal cartilages (upper lateral, lower lateral, and septum) and nasal attachments (interdomal, inter-cartilaginous, and septo-crural) were taken. All specimens were evaluated histologically to detect age-related changes. A modified version of the Mankin grading scale was used to score each nasal cartilage sample. All attachment samples were examined by image analysis for quantitative assessment. The results were correlated to preoperative anthropometric measurements of nasolabial angle and nasal projection. RESULTS:Histologically, in group II, the cartilage matrix showed fibrinoid degeneration with a significant decrease in the number of chondrocytes and increased perichondrial fibrosis compared with group I. Attachments in group II showed a lower number of blood vessels and decreased percentage of collagen bundles. Modified Mankin scores were significantly higher in group II, indicating weak cartilages compared with group I. There was negative correlation and significance between projection, nasolabial angle, cartilages, and attachments in study groups. The linear regression model revealed that the lower lateral cartilage is the cartilage that is most affected by the aging process. CONCLUSIONS:These findings not only enhance our current understanding of the natural changes that occur in the nose during aging but may also affect surgical decision-making when grafting or suturing are considered during rhinoplasty. :Level of Evidence: 2.

journal_name

Aesthet Surg J

authors

Helal HA,Ghanem MAM,Al-Badawy AM,Abdel Haleem MM,Mousa MH

doi

10.1093/asj/sjy245

subject

Has Abstract

pub_date

2019-08-22 00:00:00

pages

943-952

issue

9

eissn

1090-820X

issn

1527-330X

pii

5104943

journal_volume

39

pub_type

杂志文章
  • The aesthetics of hair restoration.

    abstract::The hairline and frontal hair volume are frequently overlooked aspects of attractive facial proportion and overall facial aesthetics. The author contends that patient benefit from hair restoration surgery is significant, and these procedures should be routinely considered as part of a complete facial rejuvenation. ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2004.08.007

    authors: Vogel JE

    更新日期:2004-11-01 00:00:00

  • Exacerbation of multiple plane warts following laser skin resurfacing.

    abstract::Laser skin resurfacing has become a well-established treatment for rhytids and epidermal and dermal lesions. We report a rare complication of such treatment: exacerbation of plane warts following laser treatment. A 27-year-old woman underwent outpatient laser treatment at another center to correct skin irregularities ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.03.007

    authors: van der Lei B,van Schijndel AW,Blanken R

    更新日期:2006-05-01 00:00:00

  • Treatment of the tear trough deformity with hyaluronic acid.

    abstract:BACKGROUND:Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. OBJECTIVE:The authors evaluate the results of periorbital filling with hyalur...

    journal_title:Aesthetic surgery journal

    pub_type: 临床试验,杂志文章

    doi:10.1177/1090820X10395505

    authors: Viana GA,Osaki MH,Cariello AJ,Damasceno RW,Osaki TH

    更新日期:2011-02-01 00:00:00

  • Cell Enriched Autologous Fat Grafts to Follicular Niche Improves Hair Regrowth in Early Androgenetic Alopecia.

    abstract:BACKGROUND:Adipose and adipose derived regenerative cells (ADRCs) play an increasing role in androgenetic alopecia. OBJECTIVES:The authors sought to evaluate the safety and feasibility of fat grafts enriched with ADRCs in early androgenetic alopecia. METHODS:Seventy-one patients were treated: 16 with Puregraft fat an...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa037

    authors: Kuka G,Epstein J,Aronowitz J,Glasgold MJ,Rogal JG,Brown W,Geronemus RG,Daniels EJ,Washenik K

    更新日期:2020-05-16 00:00:00

  • Sub-SMAS Transposition of the Buccal Fat Pad.

    abstract:BACKGROUND:Regardless of the technique chosen to treat the aging midface, the isolated lateral approach facelift has a limited impact on the midface volume deficit. In an effort to overcome this limitation, modern facial rejuvenation procedures incorporate an additional modality for replenishing the midface volume. Som...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz129

    authors: Bitik O

    更新日期:2020-03-23 00:00:00

  • Characterization of the Tissue and Stromal Cell Components of Micro-Superficial Enhanced Fluid Fat Injection (Micro-SEFFI) for Facial Aging Treatment.

    abstract:BACKGROUND:New microfat preparations provide material suitable for use as a regenerative filler for different facial areas. To support the development of new robust techniques for regenerative purposes, the cellular content of the sample should be considered. OBJECTIVES:To evaluate the stromal vascular fraction (SVF) ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjy142

    authors: Rossi M,Roda B,Zia S,Vigliotta I,Zannini C,Alviano F,Bonsi L,Zattoni A,Reschiglian P,Gennai A

    更新日期:2020-05-16 00:00:00

  • Transaxillary subpectoral augmentation mammaplasty: a single surgeon's 20-year experience.

    abstract:BACKGROUND:Transaxillary subpectoral augmentation mammaplasty (TASPA) is not widely accepted due to perceived limitations in pocket access, visualization, control, and subsequent risk for postoperative complications. Current published data do little to substantiate or refute those claims. OBJECTIVE:A retrospective cha...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X11416936

    authors: Huang GJ,Wichmann JL,Mills DC

    更新日期:2011-09-01 00:00:00

  • The Frontal View of the Nose: Lighting Effects and Photographic Bias.

    abstract:BACKGROUND:Most aesthetic rhinosurgeons rely on proper photographic documentation of the nose using several different views. The frontal view is probably the most important, but it is also the most demanding. OBJECTIVES:In the frontal view, delicate, 3-dimensional (3D) anatomic structures require special photographic ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sju081

    authors: Strub B,Mende K,Meuli-Simmen C,Bessler S

    更新日期:2015-07-01 00:00:00

  • Acellular dermal matrix in the management of the burn patient.

    abstract::Although the principles of burn management are still primarily focused on survival, as advances are realized in resuscitation, nutrition, and wound management, the functional and aesthetic outcomes following burn injury have become increasingly important. Acellular dermal matrix materials, which allow surgeons to mini...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1177/1090820X11418202

    authors: Wainwright DJ,Bury SB

    更新日期:2011-09-01 00:00:00

  • Augmentation buttock-pexy using autologous tissue following massive weight loss.

    abstract:BACKGROUND:Body contouring after massive weight loss has become more popular as the rate of gastric bypasses and other bariatric surgeries increases. After bariatric surgery, the buttocks not only tend to become loose and ptotic but also lose their natural fullness. OBJECTIVE:To improve buttock fullness in postbariatr...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2005.09.015

    authors: Rohde C,Gerut ZE

    更新日期:2005-11-01 00:00:00

  • A Retrospective Study of the Psychological Outcomes of Labiaplasty.

    abstract:Background:Labiaplasty has become an increasingly popular procedure. However, the psychological outcomes of this procedure, such as the effects on women’s sex lives and psychological well-being, have received little attention from researchers to date. In addition, the investigation of factors which predict satisfaction...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw190

    authors: Sharp G,Tiggemann M,Mattiske J

    更新日期:2017-03-01 00:00:00

  • Laser resurfacing procedures in dark-skinned patients.

    abstract::The author provides his perspective on resurfacing procedures in dark-skinned patients, advising a cautious approach to laser resurfacing. Laser complications in Fitzpatrick skin types III to VI, including hyperpigmentation, hypopigmentation, and scarring, are well documented. Unlike chemical peeling and dermabrasion,...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2005.09.019

    authors: Griffin AC

    更新日期:2005-11-01 00:00:00

  • YouTube for Cosmetic Plastic Surgery: An Effective Patient Resource?

    abstract:BACKGROUND:YouTube is increasingly being utilized as a major educational resource by patients. It is important for plastic surgeons to understand the quality and characteristics of videos that patients are likely to view about procedures of interest. OBJECTIVES:The aim of this study was to evaluate the quality of the ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz268

    authors: Ward B,Ayyala HS,Zhang K,Manuskhani PA,Paskhover B,Lee ES

    更新日期:2020-04-14 00:00:00

  • Understanding and using hyaluronic acid.

    abstract::Injectable synthetic hyaluronic acid is biodegradable and biocompatible with human hyaluronic acid. Soft tissue augmentation with this product does not require prior skin testing and provides robust augmentation. Its ability to attract and maintain significant amounts of water accounts for the volume and duration of c...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2004.04.009

    authors: Matarasso SL

    更新日期:2004-07-01 00:00:00

  • Integrated Forehead and Temporal Augmentation Using 3D Printing-Assisted Methyl Methacrylate Implants.

    abstract:Background:Achieving aesthetic results with forehead augmentation procedures remains challenging. We have developed a method of integrated forehead and temporal augmentation using a three-dimensional (3D) printing-assisted methyl methacrylate implant. Objectives:The study objective was to assess the importance of comb...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjy075

    authors: Hirohi T,Nagai K,Ng D,Harii K

    更新日期:2018-10-15 00:00:00

  • A comprehensive examination of topographic thickness of skin in the human face.

    abstract:BACKGROUND:Knowledge of topographic skin thickness is important to plastic surgery of the face as it may guide resection and restoration in oncologic, aesthetic, and reconstructive procedures. OBJECTIVE:The purpose of this study is to report the relative thickness of the face throughout 39 distinct subunits. METHODS:...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjv079

    authors: Chopra K,Calva D,Sosin M,Tadisina KK,Banda A,De La Cruz C,Chaudhry MR,Legesse T,Drachenberg CB,Manson PN,Christy MR

    更新日期:2015-11-01 00:00:00

  • Simplified Muscle-Suspension Lower Blepharoplasty by Orbicularis Hitch.

    abstract:BACKGROUND:The suspension of orbicularis oculi during lower blepharoplasty presents a logical surgical addition for further support of the lid, as well as further improvement to its contour profile. It has traditionally been performed as an extension of the skin-muscle flap procedure, but more recently, and aggressivel...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw052

    authors: Little JW,Hartstein ME

    更新日期:2016-06-01 00:00:00

  • Eliminating the vertical scar in breast reduction-Boston modification of the Robertson technique.

    abstract:BACKGROUND:Surgeons often advise patients with large ptotic breasts to undergo a Wise pattern reduction (WPR) mammaplasty using an inferior pedicle technique with consideration of a free-nipple graft. OBJECTIVE:We describe the Boston modification of the Robertson technique (BMRT), which allows for the elimination of t...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/j.asj.2006.10.010

    authors: Movassaghi K,Liao EC,Ting V,Matros E,Morris DJ,Orgill DP,Pribaz JJ

    更新日期:2006-11-01 00:00:00

  • A new implant methodology for the patient with a small nipple-areolar complex diameter.

    abstract:BACKGROUND:Both the conventional periareolar approach and the inframammary approach present difficulties in breast augmentation when treating the patient with a small nipple-areolar complex diameter. OBJECTIVE:We describe an approach that uses a 360-degree periareolar incision. METHODS:A ring of skin was demarcated a...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1067/maj.2001.117702

    authors: Sarrabayrouse MA,Loustau HD

    更新日期:2001-07-01 00:00:00

  • Long-Term Safety of Textured and Smooth Breast Implants.

    abstract::In this review, the authors provide a 20-year review and comparison of implant options and describe the evolution of breast implant surface textures; compare available implant surfaces; present long-term safety data from the 10-year US-based Core clinical studies; list the key benefits and risks associated with smooth...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1093/asj/sjx157

    authors: Calobrace MB,Schwartz MR,Zeidler KR,Pittman TA,Cohen R,Stevens WG

    更新日期:2017-12-13 00:00:00

  • Body contouring: a preliminary report on the use of the silhouette device for treating cellulite.

    abstract::Cellulite is a common condition affecting 85% of postadolescent women. Recent advances in aesthetic techniques have initiated a new pursuit into understanding the cause and treatment of this condition. A recently introduced "roller massage therapy" device, Silhouette, was selected for evaluation in this study. Three p...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1016/s1090-820x(98)70037-8

    authors: McDaniel DH,Lord J,Ash K,Newman J,Zukowski M

    更新日期:1998-05-01 00:00:00

  • How Well Do They Convert? Trending ASAPS Presentations to Publication From 1995-2010.

    abstract:BACKGROUND:The American Society for Aesthetic Plastic Surgery (ASAPS) sponsors an annual conference that promotes education, advocacy, and care. There, researchers deliver abstracts as podium and poster presentations. Subsequently, ASAPS encourages submitting these research findings for publication. Yet, many never bec...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjw097

    authors: Williams S,Pirlamarla A,Rahal W,Weichman K,Garfein E,Jelks G,Tepper O

    更新日期:2017-02-01 00:00:00

  • Clinical results of botulinum toxin type a treatment of migraine headache.

    abstract::Clinical trials, retrospective studies, and case studies indicate that botulinum toxin type A is safe and effective for prophylactic and acute treatment of migraine headache. Further studies are needed to scientifically determine the optimum dosage and administration sites, and which patients are most likely to benefi...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1067/maj.2002.121958

    authors: Silberstein SD

    更新日期:2002-01-01 00:00:00

  • A Multicenter Evaluation of Paradoxical Adipose Hyperplasia Following Cryolipolysis for Fat Reduction and Body Contouring: A Review of 8,658 Cycles in 2,114 Patients.

    abstract:BACKGROUND:Paradoxical adipose hyperplasia (PAH) is a rare, moderate-to-severe adverse event associated with cryolipolysis (Coolsculpting, CS). OBJECTIVES:Describe the incidence, diagnoses and treatment of PAH, following CS for nonsurgical fat reduction. METHODS:A multicenter evaluation of all patients who underwent ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjaa310

    authors: Nikolis A,Enright KM

    更新日期:2020-11-20 00:00:00

  • Relationship Between Obesity and Surgical Complications After Reduction Mammaplasty: A Systematic Literature Review and Meta-Analysis.

    abstract:Background:Although many patients who undergo reduction mammaplasty are obese, reports on whether obesity is a risk factor for postoperative complications have been conflicting. Objectives:This systematic literature review and meta-analysis aimed to evaluate the relationship between obesity and surgical complications ...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/asj/sjw189

    authors: Myung Y,Heo CY

    更新日期:2017-03-01 00:00:00

  • Improvement in the Retention Rate of Transplanted Fat in Muscle by Denervation.

    abstract:Background:Improvement in the retention rate of transplanted fat is currently a topic of interest. The retention of transplanted fat relies heavily on the reestablishment of blood supply and the function of the adipose-derived stem cells (ADSCs), which may both be impeded by mechanical force. However, the effect of mec...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjy104

    authors: Shi N,Guo S,Su Y,Zhang Z,Qiu L,Yu Z,Yang Q,Wang N,Yi C

    更新日期:2018-08-16 00:00:00

  • Beyond the L-Strut: Redefining the Biomechanics of Rhinoplasty Using Topographic Optimization Modeling.

    abstract::Rhinoplasty utilizes cartilage harvested from the nasal septum as autologous graft material. Traditional dogma espouses preservation of the "L-strut" of dorsal and caudal septum, which is less resistant to axial loading than virgin septum. Considering the 90° angle between dorsal and caudal limbs, the traditional L-st...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章,评审

    doi:10.1093/asj/sjy301

    authors: Glass GE,Staruch RMT,Ruston J,East CA,Tan PJ

    更新日期:2019-11-13 00:00:00

  • Pro-Fibrotic CD26-Positive Fibroblasts Are Present in Greater Abundance in Breast Capsule Tissue of Irradiated Breasts.

    abstract:BACKGROUND:Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by CD26 surface marker expression. OBJECTIVES:This work aimed to investigate the role...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1093/asj/sjz109

    authors: Borrelli MR,Irizzary D,Patel RA,Nguyen D,Momeni A,Longaker MT,Wan DC

    更新日期:2020-03-23 00:00:00

  • Electromyographic and electroneurographic changes in internal nasal muscles after endonasal and external rhinoplasty.

    abstract:BACKGROUND:Anatomical structures of the nose (including muscles) are elevated, sutured, or reshaped during rhinoplasty. Electromyography and electroneurography are the objective electrophysiologic tests performed for the direct measurement of nasal muscle function. OBJECTIVES:The authors investigate the predictive val...

    journal_title:Aesthetic surgery journal

    pub_type: 杂志文章

    doi:10.1177/1090820X11398478

    authors: Kirgezen T,Yigit O,Taskin U,Cakir ZA,Adatepe T

    更新日期:2011-03-01 00:00:00

  • Umbilical hernia repair in conjunction with abdominoplasty: a surgical technique to maintain umbilical blood supply.

    abstract::Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. Traditional surgical techniques for abdominoplasty and umbilical hernia repair, when performed simultaneously, can potentially compromise the vascular supply to the umbilicus. The authors descri...

    journal_title:Aesthetic surgery journal

    pub_type: 信件

    doi:10.1016/j.asj.2009.02.012

    authors: Bruner TW,Salazar-Reyes H,Friedman JD

    更新日期:2009-07-01 00:00:00