Omer Buhsem, Sinem Cilingir
Turkish Journal of Plastic Surgery - 2025;33(4):174-180
Introduction: Despite their widespread use, traditional rhinoplasty techniques involve lengthy procedures, general anesthesia risks, extended recovery periods, and potential complications. Certain patients seeking minimal esthetic nasal corrections do not require such extensive interventions and cannot achieve desired outcomes nonsurgically. To address this gap, we present the mini-rhinoplasty technique, a rapid, minimally invasive procedure suitable for selected patients. Aim/Purpose: This study aims to introduce and evaluate the effectiveness and patient satisfaction of a novel minimally invasive rhinoplasty technique founded by the Senior Author, referred to as "mini-rhinoplasty," performed under local anesthesia in a clinical setting. Materials and Methods: Thirty-six patients presented to the clinic with mild nasal deformities, particularly nasal tip drooping, and underwent mini-rhinoplasty under local anesthesia. The technique involved resection of the excessive membranous and caudal septum, cephalic trimming of alar cartilages, selective caudal trimming of upper lateral cartilages, depressor septi nasi muscle incision, and autologous grafting when needed. Outcomes were assessed using the Global Aesthetic Improvement Scale (GAIS) by two independent plastic surgeons, and patient satisfaction was measured by a 10-point Likert scale at 6- and 24-month follow-ups. Results: All procedures were completed within 12-28 min (mean: 19.4 min). GAIS assessments by surgeons averaged 2 (mild-to-moderate improvement). Patient satisfaction was high, averaging 7.5/10 at 6 months and 6.9/10 at 24 months postoperatively. Standard procedures included alar cartilage resection (80.6%), depressor septi nasi incision (88.9%), and autologous grafting (55.6%). Conclusion: Mini-rhinoplasty is a safe, effective, and minimally invasive alternative to traditional rhinoplasty for selected patients. With its short operative time, quick recovery, high patient satisfaction, and suitability for a clinical environment, it presents a valuable option.
