DOI QR코드

DOI QR Code

Paradigm Shift in Rhinoplasty with Virtual 3D Surgery Software and 3D Printing Technology

  • Man Koon Suh (JW Plastic Surgery Center) ;
  • Joo-Yun Won (Clinical and Translational Research Institute, Anymedi Inc.) ;
  • Jung-Hwan Baek (H Plastic Surgery Clinic)
  • Received : 2022.05.09
  • Accepted : 2024.02.01
  • Published : 2024.05.15

Abstract

Most Asians have a nose with a short columella and a low dorsum; augmentation rhinoplasty using implants is commonly performed in Asian countries to achieve a taller and more well-defined nasal dorsum. However, the current knowledge is insufficient to fully understand the various subjective desires of patients, reflect on them during surgery, or to objectively analyze the results after surgery. Advances in digital imaging technologies, such as 3D printing and 3D scanning, have transformed the medical system from hospital-centric to patient-centric throughout the medical field. In this study, we applied these techniques to rhinoplasty. First, we used virtual 3D plastic surgery software to enable surgical planning through objectified numerical calculations based on the visualized data of the patient's medical images rather than simple virtual plastic surgery. Second, the customized nasal implant was manufactured by reflecting the patient's anatomical shape and virtual 3D plastic surgery data. Taken together, we describe the surgical results of applying these rhinoplasty solutions in four patients. Our experience indicates that high fidelity and patient satisfaction can be achieved by applying these techniques.

Keywords

References

  1. Bergeron L, Chen PK. Asian rhinoplasty techniques. Semin Plast Surg 2009;23(01):16-21 
  2. Kim IS. Augmentation rhinoplasty using silicone implants. Facial Plast Surg Clin North Am 2018;26(03):285-293 
  3. Sertel S, Venara-Vulpe II, Pasche P. Correction of severe columella and tip retraction in silicone implanted Asian short noses. J Otolaryngol Head Neck Surg 2016;45:19 
  4. Kamali P, Dean D, Skoracki R, et al. The current role of three-dimensional printing in plastic surgery. Plast Reconstr Surg 2016;137(03):1045-1055
  5. Kamali P, Dean D, Skoracki R, et al. The current role of three-dimensional (3D) printing in plastic surgery. Plast Reconstr Surg 2016;137(03):1045-1055 
  6. Gerstle TL, Ibrahim AMS, Kim PS, Lee BT, Lin SJ. A plastic surgery application in evolution: three-dimensional printing. Plast Reconstr Surg 2014;133(02):446-451 
  7. Suh MK. Cosmetic augmentation rhinoplasty for East Asians. Facial Plast Surg Clin North Am 2021;29(04):589-609 
  8. Suh MK, Lee H, Choi S. Nasal dorsal augmentation using implant and autogenous tissues. In: Suh MK, ed. State of the Art Rhinoplasty Techniques. Singapore: Springer. 2022. Accessed January 1st, 2022, at: https://doi.org/10.1007/978-981-16-5241-7_2 
  9. Ishii CH. Current update in asian rhinoplasty. Plast Reconstr Surg Glob Open 2014;2(04):e133 
  10. Choi YD, Kim Y, Park E. Patient-specific augmentation rhinoplasty using a three-dimensional simulation program and three-dimensional printing. Aesthet Surg J 2017;37(09):988-998 
  11. Lee I, Ohba N, Lee H, Lee KS, Lee M. The usefulness of patient-specific 3D nasal silicone implant using 3D design and order form. Clin Cosmet Investig Dermatol 2022;15:177-184 
  12. Gordon AR, Schreiber JE, Patel A, Tepper OM. 3D printed surgical guides applied in rhinoplasty to help obtain ideal nasal profile. Aesthetic Plast Surg 2021;45(06):2852-2859 
  13. Lisiecki JL, Gilman RH. Traditional anthropometrics versus computerized photograph manipulation in rhinoplasty planning. Aesthetic Plast Surg 2022;46(01):338-341 
  14. Kiranantawat K, Nguyen AH. Asian Rhinoplasty: preoperative simulation and planning using adobe photoshop. Semin Plast Surg 2015;29(04):232-246