A new study published in Plastic & Reconstructive Surgery finds that the side of caudal septal graft placement does not significantly affect nasal tip symmetry in rhinoplasty.
A new peer-reviewed study by Kameron Rezzadeh, MD, FACS, has been published in Plastic & Reconstructive Surgery, the journal of the American Society of Plastic Surgeons. The article, titled “Does Laterality of the Caudal Septal Extension Graft Matter? A Photograph-Based Analysis of Symmetry in Rhinoplasty,” explores whether the placement side of a caudal septal extension graft influences nasal tip symmetry.
Study Analyzes Over 100 Rhinoplasty Cases
The research analyzed 122 patients over an average follow-up of 18 months. Using standardized photographic metrics and multivariate modeling, the study assessed whether offset graft positioning produced measurable asymmetry. The results showed no statistically significant difference in symmetry based on graft laterality.
Findings Emphasize Structural Support Over Side Placement
“In rhinoplasty, symmetry is among the most delicate goals,” said Rezzadeh. “This study indicates that rather than worrying excessively about exact side-placement, we can focus even more on midline support, structural integrity, and proportional balance. It aligns surgical technique with patient anatomy, not arbitrary bias.”
Future Research May Use AI to Measure Symmetry
The study suggests directions for future research, including the use of computational imaging and artificial intelligence to objectively measure facial symmetry. Rezzadeh noted that as technologies evolve, they may help surgeons further tailor procedures to individual anatomy.
New Online Resources Aim to Share Findings
To support accessibility, Rezzadeh is launching a Research & Publications section on his website. It will include lay summaries, full citations, visual highlights, and commentary. A Featured Study page will also be available for easier engagement by colleagues, media, and patients.
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