Inverted V Graft: Combination of Columellar Strut and Extension Graft

Objective: To explore the efficacy and outcomes of the ‘Inverted V graft’ technique, which synergistically combines a columellar strut and an extension graft. This innovative approach aims to provide enhanced structural support and improved aesthetic results in rhinoplasty procedures. Methods: Patients were observed postoperatively over a period of one year, with evaluations at designated intervals using the Rhinoplasty Outcome Evaluation (ROE) questionnaire to assess satisfaction. The closed preservation rhinoplasty method was employed under general anesthesia with all patients. The Inverted V graft was meticulously sutured in place, augmenting nasal structure and stability. Results: In a group of 19 participants, the study observed significant enhancements in patient satisfaction post-rhinoplasty, as indicated by ROE scores, with no age-related variation in outcomes. Surgical times averaged around 209.5 min, with an 18-month follow-up showing similar satisfaction improvements across both genders. Conclusions: The study demonstrates that the dual-purpose Inverted V graft technique significantly enhances structural support and aesthetic outcomes in rhinoplasty procedures. The use of this technique resulted in substantial improvements in patient satisfaction, as measured by the Rhinoplasty Outcome Evaluation (ROE) scores, indicating its effectiveness in achieving desired surgical results.