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"Diced Cartilage" Wrapped in Fascia or Implantech Implant for an Asian Bridge?

asked 1 year ago by GenaNewNN in Austin, Texas
Latest answer by Charles S. Lee, MD
Question viewed 924 times
Tags: bridge, female, implant, options, straighten

I narrowed down my choices down to the the diced cartilage wrapped in fascia or a medium implantech implant for my bridge and need a little work on my bulbous tip. Can you please tell me which would be a better option for me? I feel like my nose is too large and flat from the front. I also have to hardest time wearing glasses with my low bridge. Attached is a picture of a girl nose that I would like to aim for in term of shape and height. Is this reasonable expectation? Thank you in advance.

16 answers to "Diced Cartilage" Wrapped in Fascia or Implantech Implant for an Asian Bridge?

+4

Diced cartilage wrapped in fascia vs Implantech implant for asian rhinoplasty

Either diced cartilage wrapped in fascia or a nasal implant (Inplantech) could be used to enhance or enlarge a nasal bridge for Asian rhinoplasty.  Each has its advantages and disadvantages.  If there is a shortage of cartilage, it may be difficult to get enough of the graft to achieve the amount of bridge elevation that you are looking for.  Cartilage grafts also can warp or resorb to some extent.  Further there can be donor defects associated with cartilage graft donor... more
Vincent D. Lepore, MD

San Jose Plastic Surgeon
+3

Long-Term Perspective On Dorsal Implant Options For Asian Rhinoplasty

Both diced cartilage and a synthetic implant can be used to augment the dorsum in an Asian rhinoplasty. There are advocates for each technique and good results can be achieved with both. What you want to really look at though is the long-term of the rhinoplasty result. That is where differences can be seen, assuming that the desired initial results are obtained. Cartilage is never going to give you any problems with infection, tissue thinning, or implant exposure for the rest of your life.... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+3

Nasal Augmentation -- Implants are Cheaper and Faster, and are a poor choice

In my opinion, implants are a poor compromise for the nose Sure, implants are easier to use and take less time in the operating room to prepare and place than using your own tissue. This can certainly save money for your surgeon and perhaps for you, but many surgeons that have seen problems with implants feel that they are a poor choice (even if major problems with implants are infrequent). Diced cartilage wrapped in fascia seems to offer the least amount of... more
Nick Slenkovich, MD

Denver Plastic Surgeon
+2

Diced cartilage or silicone implant for bridge

Based on your photo it appears that you don't need a tremendous amount of bridge augmentation. In that case, I would strongly recommend cartilage, diced or not, along the bridge. By using your own tissue, the risk of having problems goes down. Silicone is fine if it works out (I've done plenty of them without problems), but your own tissue works even better.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+2

Diced cartilage graft

Both techniques are used commonly to elevate nasal bridge. Diced cartilage graft, however, is my preferred technique. It gives a natural look, can be moulded even a week after surgery and there  is no risk of infection, displacement or extortion. Even if you minimal cartilage in you nasal septum, ear cartilage can be used and the fascia is taken from the temporal area with a small incision. Good luck
Moneer Jaibaji, MD

San Diego Plastic Surgeon
+2

Asian Bridge augmentation

There are several approaches to improving the height of the bridge in noses like yours. You mentioned an implant or diced cartilage wrapped in fascia. Another option is a solid cartilage graft that is carved for your nose. Depending on your supply of septal cartilage rib cartilage may be required. Asian noses often don't have adequate cartilage to create the augmentation desired. As other surgeons have mentioned here, silicone implants are commonly used. It is a faster fix for the... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+2

Natural cartilage is always best

I take out warped and shifted implants that were placed by previous plastic surgeons as a "quick fix" all the time!  Yes cartilage wont looks at "perfect" as an implant initially and it can have some asymmetries but so do most natural noses.  Placing an implant in the nose is dangerous and even surgeons who have done thousands of this procedure in Asia report high complication rates.  Asian rhinoplasty is a complex surgery that should be left to very... more
Shervin Naderi, MD

Washington DC Facial Plastic Surgeon
+1

Asian Rhinoplasty - Dorsal Augementation

Because I've seen many problems from patients having a quick fix Asian Rhinoplasty using silicone implants (including infection, extrusion, and an unnatural appearance), I prefer to augment the nasal dorsum using material from within yourself, such as diced cartilage wrapped in fascia or rib. I prefer results that give a natural appearance. Asian rhinoplasty is a complex surgery that needs to be addressed by a specialist that will ensure that your nose not only looks great... more
Kimberly Lee, MD

Beverly Hills Facial Plastic Surgeon
+1

Asian augmentation rhinoplasty

Whether you used a solid graft of a diced graft, using your own cartilage is the best (and safest) long-term option
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Diced cartilage or implant

There are many ways to augment the nasal bridge.  An implant is definitely cheaper and faster but may be frought with more complications.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Asian rhinoplasty-implants or your own cartilage.

For 35 years I have used cartilage with or without fascia since I don't have to worry about infection or extrusion of the implant.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

"Diced Cartilage" Wrapped in Fascia or Implantech Implant for an Asian Bridge?

Silicone nasal implants have been used in Asian noses for over 20 years. It is predicatable if done correctly and the results are impressive. But, it must be refined to fit your nose and placed in under the tip cartilages.
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Controversy

This question is likely to be answered very differently depending upon each surgeon's experience and training. There are advantages and disadvantages to each--artificial implants can extrude through the skin, migrate (move around), cause chronic pain and/or redness of the skin. Diced cartilage can be unpredictable long-term with irregularities and resorption. My preference is to use your own cartilage, usually rib because, in experienced hands the risks of warping are minimal and... more
Colin Pero, MD

Dallas Facial Plastic Surgeon
+1

Diced Cartlilage or a Implantech implant.

Hi, I would recommend a custom carved silicone implant that will custom made for your nose. This will ensure that you have the right height and width for your nose and face. The cartilage may show imperfections and not be enough to raise your bridge adequately. My website below has many examples of custom carved silasitc implants. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Implant far superior for nasal bridge

IMHO, always go for the stable, more reliable implant over diced cartilage and tissue that can and will dissolve unevenly after years inside your nose. IMHO, these types of tissue grafts just set you up to have another Rhinoplasty years later to address the irregularities caused by the uneven absorption of these grafts. A stable silicone (straight, not L-shaped) is far more reliable and is what I have used for this purpose for many years.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Diced Cartilage or Implant to Augment Nose

I have done both procedures, but for years have used cartilage grafts to avoid the risk of graft movement, extrusuion, and infection. It is reasonable to expect the augmentation seen in the picture you submitted; however, with your thick skin I don't think you can achieve the tip definition of the lady in that photograph. After examination, your surgeon will establish reasonable goals.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

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