Structured Rhinoplasty: A Scoping Review of Current Trends and Technical Innovations

Abstract

Objective: To map and describe the available scientific evidence on current trends and technical advancements in structured rhinoplasty. Method: This scoping review was conducted following the methodological guidelines of the Joanna Briggs Institute and reported according to the PRISMA-ScR checklist. The research question was structured using the PCC mnemonic, considering: Population – patients undergoing structured rhinoplasty; Concept – surgical techniques and technical innovations; Context – procedures with aesthetic and/or functional purposes. Searches were performed in the PubMed, SciELO, Scopus, Web of Science, Embase, and Google Scholar databases using controlled descriptors and free terms. Studies published between 2015 and 2025 in English, Portuguese, or Spanish with full-text availability were included. Data analysis was descriptive, with thematic categorization and narrative synthesis of the findings. Results: 9 studies were included, comprising clinical trials, case series, and narrative reviews. Key trends identified included the expanded use of autologous grafts, preservation of osteocartilaginous anatomy, open approach with minimal modifications, and the growing use of auxiliary technologies such as piezoelectric surgery and 3D simulation. Structured rhinoplasty was frequently associated with improved functional and aesthetic outcomes, particularly in complex or revision cases. Conclusion: The review revealed a growing body of evidence supporting personalized and anatomy-preserving approaches. However, there are still gaps regarding protocol standardization and objective outcome measurement, especially in long-term studies.