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Diced Cartilage Wrapped in Fascia for Creating Some Height in Revision? (photo)

I got inverted V dr said it'll be fixed with spreader grafts and on top can be layed dcf. He gave me the choice between donor rib and my own rib, I said I want donor but now I am concerned because the high resorption rate of it. What would you recommend for dcf donor or autolog rib? I want to ask the dr to put 2 layers of fascia over the DC to minimalize the risk of graft visibility. Also would 2 layers be more protective when I hit my nose accidently considering graft visibilty that can occur?

Doctor Answers (2)

Diced cartilage and nasal dorsum

+1

Diced nasal cartilage from your septum or rib is fine. Irradiated is a good substitute with no donor site morbidity.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Diced cartilage wrapped in fascia for dorsal augmentation

+1

While some have reported consistent, long-term results with irradiated rib, most surgeons prefer the viability and permanence of autologous rib.  

The advantage of diced cartilage is that it virtually elimanates graft visibility.  With a single layer of fascia, graft visibility is not an issue as long as the cartilage is diced into appropriately small pieces.  

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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