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Dermis Graft from Coccyx Area for Rhinoplasty?

Dermis graft was one of the methods offered by korean plastic surgeons to increase the height of the nasal bridge. I have never heard of this before and couldn't find much information about it on the interent. Is this a good alternative to silicone implant? (I don't think I have enough septal or ear cartilage and I would like to save my rib for any future revisions if I ever needed it)

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5 Doctor Answers | Asked by applebottom2012

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Dermal Grafts For Rhinoplasty

Hi, Autologous dermal grafts are one of the methods used to add dimensions to a nose but they are of a tricky nature and the way they settle after the surgery. However, autologous cartilage grafts and synthetic impacts result better outcome. I encourage you to consult with more than one surgeon to make sure that you will be making a well informed decision. That being said please remember that commendable results require an exceptionally skilled surgeon to perform the surgery... more

Dermis Graft from Coccyx Area for Rhinoplasty?

I have performed Rhinoplasty for over 25 years and dermal grafts are not new. Dermal grafts from various areas have been used in the nose and would be subject to uneven absorption, creating deviations in the nose IMHO. Use a proven graft material which IMHO are conchal ear cartilage for tip grafts and straight silastic grafts for the nasal bridge.

Ways to increase nasal dorsal height

I have personally never used a dermal graft from this area for rhinoplasty, but have been using cadaveric dermis (Alloderm) quite extensively. The choice of material depends on doctor's and patient's preferences and the amount of augmentation needed. For large volume augmentation, septal or rib cartilage grafts are commonly used. Nasal implants, although not as popular as before, are still a valid option. For smaller volume augmentation, dermal onlay grafts can be... more

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Grafts for the nasal dorsum

I suppose dermal grafts can be used for only, but cartilage is better. Speak with other surgeons to get other opinions.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Asian rhinoplasty

Surgeon have tried a put a number of different tissues and products on the nose so not surprise with this tissue. Question is if it will correct the problem adequately and second will it last? Silastic implant have been used for many decades and lasted long when placed into an adequate pocket without undue pressure at the tip. Cadaver rib cartilage is readily available but warping and long term survival may not be good. Outer table cranial bone graft works very well and have used in Asian... more

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