Trends in rhinoplasty: Insights from an international survey of facial plastic surgeons.

[PURPOSE] Advancements in rhinoplasty techniques are continuously evolving, leading to reportedly better outcomes, though clinical practice does not necessarily reflect the adoption of these tools and methods. This survey study aims to compare current literature with reported clinical practices.

[MATERIALS AND METHODS] A cross-sectional survey collected responses from facial plastic surgeons regarding demographics, practice settings, and experiences with costal cartilage grafts, as well as their use of newer instruments and techniques. Our study aggregated survey responses from facial plastic surgeons from diverse practice settings, including private practice, academic hospitals, and combined academic-private practices.

[RESULTS] 134 surgeons responded; most have been in practice for over 20 years and work in private practice, and perform a median of 8 rhinoplasties monthly, with approximately a quarter being revision cases. Cosmetic rhinoplasties accounted for nearly half of the procedures. Autologous CCG was preferred for revisions despite the reported increased risk of warping.

[CONCLUSIONS] Most surgeons continue to choose autologous costal cartilage but have not adopted regular use of piezo or the dorsal preservation technique. To improve patient outcomes and reduce costs in the long term, further research is needed to understand surgeons' preferences and identify barriers to adopting new techniques and instruments.