{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:44:46Z","timestamp":1792025086673,"version":"4.4.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Achieving long-term stability and symmetry of the nasal tip remains a challenge for rhinoplasty. Despite meticulous suturing techniques, postoperative deformities such as asymmetry or pinched tip can occur. The subdomal graft has been proposed to reinforce tip support, but its long-term efficacy compared with standard suturing remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate whether subdomal grafting improves long-term control of the interdomal angle and domal symmetry compared with standard tip suturing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective comparative study included 379 female patients undergoing primary closed preservation rhinoplasty between January 2022 and December 2023. Group 1 (n = 223) underwent standard tip suturing, whereas Group 2 (n = 156) received subdomal grafting. Standardized photographs were obtained intraoperatively and at 12 months postoperatively. Interdomal angle variation was measured by digital analysis (ImageJ\/Fiji), and domal symmetry was independently assessed by 3 blinded plastic surgeons using a 3-point Likert scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean interdomal angle change from intraoperative to 12 months postoperative was 12.5\u00b0 \u00b1 7.5\u00b0 in Group 1 and 6.3\u00b0 \u00b1 4.8\u00b0 in Group 2 (P &amp;lt; .05). Mean domal symmetry scores were higher in the graft group (2.7 \u00b1 0.35 vs 2.3 \u00b1 0.41; P &amp;lt; .05). Revision surgery was required in 2 patients in Group 1 (0.9%) and 1 patient in Group 2 (0.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Subdomal grafting improves long-term control of the interdomal angle and enhances nasal tip symmetry compared with suturing alone, supporting more predictable and stable aesthetic outcomes in primary closed preservation rhinoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 3 (Therapeutic)<\/jats:title>\n                    <jats:p>For image description, please refer to the figure legend and surrounding text.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjag143","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T09:02:36Z","timestamp":1783414956000},"page":"NP133-NP141","source":"Crossref","is-referenced-by-count":0,"title":["Subdomal Graft Control of Nasal Tip Aesthetics: A Long-term Digital Photographic Evaluation"],"prefix":"10.1093","volume":"46","author":[{"given":"Ramon","family":"Tarragona","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Rubolino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Mirra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama","family":"Khouj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Persichetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"2026101419574421100_sjag143-B1","doi-asserted-by":"publisher","first-page":"4601","DOI":"10.1007\/s00266-024-04355-w","article-title":"Trends in surgical and nonsurgical aesthetic procedures: a 14-year analysis of the International Society of Aesthetic Plastic Surgery-ISAPS","volume":"48","author":"Triana","year":"2024","journal-title":"Aesthetic Plast Surg"},{"key":"2026101419574421100_sjag143-B2","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1097\/PRS.0b013e31825dc1a9","article-title":"What motivates secondary rhinoplasty? 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