Long-Term Outcomes of Secondary Nasal Tip Plasty After Degradation of a Polycaprolactone (PCL) Mesh
Lee SH, Cho J, Lee JS. Aesthetic Plast Surg. 2022;46(5):2358-2365 · PMID 35437665 · DOI 10.1007/s00266-022-02839-1 · Dr. Jung Su Lee, coauthor
- Research question
- PCL mesh used for nasal tip support is absorbed after 2~3 years. How does the tip change after mesh degradation, and what are the long-term results of secondary nasal tip surgery?
- Patients and methods
- Of 86 patients undergoing secondary nasal tip surgery with PCL mesh, 56 were followed for at least 24 months.
- Results
- The Goode ratio, a measure of nasal tip projection, decreased by an average of 5 percent at long-term versus short-term follow-up. There was also 1 infection and 1 instance of mesh extrusion.
- Significance
- This provides evidence to inform material selection in revision surgery. It underlies the principle of using absorbable materials as an adjunct to reinforce autologous cartilage support, rather than alone.
- Journal commentary
- An editor-commissioned Invited Discussion (PMID 35997802) was published in the same issue.
- Limitations
- Dr. Jung Su Lee is a coauthor. This report concerns patients in whom PCL mesh was used in prior surgery; it does not represent all revision rhinoplasty experience, including contracted-nose reconstruction, functional nasal obstruction, and rib-cartilage reconstruction.