Safety Outcome of Yap Technique in Structural Rhinoplasty with PCL Mesh as Unilateral Extended Spreader Graft and End-to-End Septal Extension Graft: A Four-Year Single Surgeon Experience

Objective: To look at the outcomes of a single surgeon’s experience using Yap Technique in utilizing PCL mesh for nasal tip support from August 2018 to July 2022 with a follow-up of six months to four years. Methods:Design: Retrospective Case SeriesSetting: Private Outpatient Surgical Centers Participants: 697 patients Results: From a total of 1,404 cases performed from August 2018 to July 2022, PCL mesh was used in 697 cases (49.6 %). There were 74 males and 623 females with ages ranging from 15-63 (mean age 28). Out of the 697, there were no cases reported to have extrusion or hemorrhage requiring revision surgery within the 6 month to 4 year post operative period. There were two cases of caudal strut deviation needing minor procedure of submucous resection at 6 months and 1-year post-operative period, respectively. Only one case developed bleeding and significant deviation requiring removal of PCL mesh because of trauma at around 1-year post-operative period. Conclusion: The index surgeon’s 4-year experience with PCL mesh as tip support in structural rhinoplasty using Yap technique resulted in generally favorable outcomes with only 1 reported complication needing removal.