Can diced cartilage grafts for nasal bridge be removed a year after operation and placed with fillers?
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Dr. Jeffrey Epstein Answer
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Dices cartilage and filleres
I'm a little unsure of the question and may misunderstand you. If there is too much cartilage and some is removed, why would you then want to replace it with filler? Are you saying the entirety of the diced cartilage would be removed?
With diced cartilage, if you wait a year or so, it can be reduced a small or large amount leaving the rest there to fulfill its function. Then there would be no need for the filler.
Having said that filler is an excellent material to add to the dorsum of the nose for non-structural purposes (ie it has no ability to lift the other parts of the nose with it). It does however need to be topped up after a time, which can be as much as years. However I would wait for a few months after surgery to allow the tissues to settle in.
All the best.
Diced cartilage and removal
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Removal of diced cartilage from nose
The tissues would need to settle down for at least 6 weeks
At first a non permanent could be injected and depending on the result a permanent filler used later.
You could consider a bone graft for the low dorsum if over resection was the initial problem from the first unsuccessful rhinoplasty.
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