Dorsal augmentation rhinoplasty using silicone implants combined with tip plasty using autologous cartilage is widely performed in Asian populations. Despite the advantages of silicone implants, including structural stability and biocompatibility, complications such as capsular contracture, implant displacement, and extrusion remain clinically relevant. To improve implant stability and aesthetic outcomes while reducing implant-related complications, we developed a three-point suture anchor technique that integrates auricular cartilage with an L-shaped silicone implant. This study evaluates the clinical efficacy, safety, and patient satisfaction associated with this technique in primary rhinoplasty. Patients who underwent primary rhinoplasty using the three-point suture anchor technique between July 2020 and August 2025 were retrospectively screened and enrolled. The technique involved anchoring auricular cartilage to the L-shaped implant at three fixation points: the nasal tip, the upper end of the implant, and the columella. Standardized preoperative and postoperative photographs and perioperative complications were recorded. Patient-reported outcomes were assessed using the Rhinoplasty Outcome Evaluation (ROE) questionnaire before surgery and at follow-up. In addition, high-frequency ultrasound examination was performed postoperatively to assess implant position, periprosthetic capsule thickness, and the presence of fluid collection or calcification. A total of 37 patients (33 females and 4 males; mean age 24.89 ± 5.11 years, range 18–36 years) were included. All patients reported satisfactory cosmetic outcomes at a mean follow-up of 24 months. The mean ROE score improved significantly from 12.22 ± 3.76 preoperatively to 20.03 ± 1.74 postoperatively (p < 0.0001). No common complications were observed at either the nasal or donor sites. Ultrasound evaluation demonstrated a thin and uniform periprosthetic capsule along the nasal dorsum, with a mean thickness of 78.0 ± 29.4 µm, and revealed no implant displacement, periprosthetic fluid collection, or calcification. The three-point suture anchor technique is a reliable and secure approach for primary rhinoplasty using silicone implants combined with autologous cartilage. This method provides excellent aesthetic outcomes, high patient satisfaction, and a low complication rate, making it a valuable surgical option for dorsal augmentation rhinoplasty.
Song et al. (Sun,) studied this question.