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Report on the National Rhinoplasty Survey
In the recent Aesthetic Surgery Journal there was a very interesting survey report. Because cosmetic nasal plastic surgery or rhinoplasty is such a complex and multifaceted operation, the researchers were trying to ascertain whether there are different methodologies between practitioners. They looked at pre-operative, operative and post-operative techniques to try to make an evaluation whether there was a correlation with such factors as specialty training and timing, type of practice (academic versus private, etc.) and length in practice. It also surveyed the issue of closed rhinoplasty and open rhinoplasty.
Here are some of the more interesting conclusions from the study that had responses from 1,923 practitioners. Some were plastic surgeons and some were facial plastic surgeons.
The most common age group for which rhinoplasty on males would be performed was 18 years of age; for females, 16 years.
Seventy-one percent of the respondents used general anesthesia more than 90% of the time.
Man-made nasal implants (instead of the patient's own tissue) are used a small majority of the time. Seventy-seven percent of respondents use them up to 12% of the time and 12% used them from between 6 to 10% of the time. The most popular were silicone, Gortex and Medpor.
Revision rates were reviewed and there was no significant difference between the revision rate between the two specialties (plastic surgery and facial plastic surgery). Nor was there any correlation in the revision rate with whether or not the operation was performed as an open rhinoplasty or closed rhinoplasty. Surgeons in practice for longer periods of time are more likely to be trained using the closed approach while the open approach has only recently become a more popular training technique.
The study also showed that facial plastic surgeons who are generally trained as head and neck (ear, nose and throat) surgeons are more likely to have a functional (breathing and sinus issues) component to their surgery; the plastic surgeons are more likely to perform purely cosmetic nasal plastic surgery. With respect to charges for revision surgery, 60% charged only a facility fee for revisions but 13% charged an additional surgeon's fee when making another trip to the operating room.
- Robert Kotler, MD, FACS
Related Topics:
Here are some of the more interesting conclusions from the study that had responses from 1,923 practitioners. Some were plastic surgeons and some were facial plastic surgeons.
The most common age group for which rhinoplasty on males would be performed was 18 years of age; for females, 16 years.
Seventy-one percent of the respondents used general anesthesia more than 90% of the time.
Man-made nasal implants (instead of the patient's own tissue) are used a small majority of the time. Seventy-seven percent of respondents use them up to 12% of the time and 12% used them from between 6 to 10% of the time. The most popular were silicone, Gortex and Medpor.
Revision rates were reviewed and there was no significant difference between the revision rate between the two specialties (plastic surgery and facial plastic surgery). Nor was there any correlation in the revision rate with whether or not the operation was performed as an open rhinoplasty or closed rhinoplasty. Surgeons in practice for longer periods of time are more likely to be trained using the closed approach while the open approach has only recently become a more popular training technique.
The study also showed that facial plastic surgeons who are generally trained as head and neck (ear, nose and throat) surgeons are more likely to have a functional (breathing and sinus issues) component to their surgery; the plastic surgeons are more likely to perform purely cosmetic nasal plastic surgery. With respect to charges for revision surgery, 60% charged only a facility fee for revisions but 13% charged an additional surgeon's fee when making another trip to the operating room.
- Robert Kotler, MD, FACS
Related Topics:
Labels: cosmetic surgery, nose job, rhinoplasty
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