Commentary on "combined alloplastic implant and autologous dermis graft for nasal augmentation rhinoplasty in asians"

Saedi B.

What this paper says

This is a short editorial commentary on another journal's article about combining a synthetic implant with the patient's own skin tissue to build up the nose in Asian patients, and it carries no data of its own.

Overview

Aesthetic Plastic Surgery publishes invited commentaries alongside original articles. This entry is such a commentary, written in response to a paper on nasal augmentation combining an alloplastic implant with an autologous dermis graft in Asian patients. The published record for this commentary contains only a note that the journal requires a level of evidence rating. No study, patient group or result is described in it.

Sections of note

Article type is a commentary, not original research.
The topic is nasal augmentation in Asian patients using an alloplastic implant together with an autologous dermis graft.
The record is graded level of evidence V, the lowest rating, used for expert opinion.
No patient numbers, technique steps, follow-up length or complication rates appear in the record.
No results or conclusions are stated in the available abstract text.

What it means for a patient

Commentaries are one surgeon's opinion on someone else's work, not new evidence.
Nothing here can be used to judge how safe or effective the combined implant and dermis graft approach is.
To evaluate that technique, the original article it responds to would need to be read.
A level of evidence V rating signals opinion rather than measured outcomes.

Why this paper matters

It marks a live debate in augmentation rhinoplasty: whether wrapping or backing a synthetic implant with the patient's own tissue reduces the problems that implants can cause, such as visibility, movement and extrusion. The commentary itself does not settle that question, and the underlying comparison of implant alone against implant plus dermis remains unresolved in the record shown here.

Terms

Alloplastic implant: an implant made of synthetic material rather than the patient's own tissue.
Autologous dermis graft: a layer of the patient's own deep skin moved to another site.
Augmentation rhinoplasty: surgery that builds the nose up rather than reducing it.
Level of evidence V: the weakest research grade, covering expert opinion and case reasoning.
Commentary: a short invited article giving perspective on a published paper.

Summary written by rhinoplasty.cc from the abstract, 2026-09-08; not medical advice. The authors' own abstract follows.

From the abstract

“Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266…”

Excerpt; the full abstract is on PubMed.