Is It Possible to Use Septal Cartilage for the Nose Bridge/dorsal Augmentation?

I don't want to use foreign material like silicon or gortex, but rib graft rhinoplasty is so much more expensive. I'm Asian, so I don't think a really tall nose would look natural on me anyway.. Thank you all for your help!

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13 Doctor Answers | Asked by kkim120

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Septal cartilage for nasal bridge augmentation

It is possible to use nasal septal cartilage for nose and dorsal augmentation in an Asian rhinoplasty. However, there needs to be enough cartilage is needed in the nose to perform the augmentation. Frequently in an Asian nose the septum is quite thin and a double or triple stack of the patient’s own cartilage is needed to create enough augmentation. This is performed under general anesthesia as an outpatient procedure. It is important to perform computer imaging and... more

Paitents own septal cartillage to augment nose

I agree. why use foreign material when you can use your own cartilage. For an Asian augmentation Rhinoplasty I often use cartilage from the nasal septum to both augment the bridge and the tip as required. If you have had previous surgery on your nose and the septal cartilage is no longer available then that is a different story. 1st time Rhinoplasty? septal cartilage is excellent choice. see video

Thomas Buonassisi, MD

28 reviews

Vancouver Facial Plastic Surgeon

www.8west.ca

Nasal Dorsum Augmentation

Dear Kim, Septal cartilage is a great choice given the fact that enough cartilage could be harvested from that site to achieve your desired augmentation. Without photos and physical examination, it is hard to be definitive about a particular site from where a surgeon can harvest the autologous material for a cartilage graft; ear and rib cartilages are other options as you may already know. That said, I recommend that you seek a consultation with a board certified... more

Carriage graft

I agree with you. Septal cartilage grafts are ideal to augment the bridge of the nose. The cartilage is easily harvested at the time of surgery. The piece of cartilage may not be as large as a silicone implant, but it may be an option worth exploring. Adorsal cartilage graft using septal cartilage is a standard and routine plastic surgical procedure and works well if you are the right candidate.

Non-surgical rhinoplasty is great for augmenting the nasal dorsum.

Septal cartilage may definitely be used for augmenting the nasal bridge. If there is not enough septal cartilage to raise the bridge to the desired height, cartilage from the ear may be safely combined for dorsal augmentation. Personally, I prefer non-surgical rhinoplasty for augmenting the nasal bridge. I use Restylane, Perlane, Radiesse, or Artefill to augment the nasal bridge. This method has the following benefits: Contouring may be done in a very... more

Septal Cartilage to Augment Nasal Bridge

For 35 years septal and ear cartilage have been my first choice to augment the nasal bridge. Rib cartilage is much more difficult to harvest. I feel it is always better to use the patient's own tissue whenever possible rather than foreign material.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Asian Rhinoplasty

Hello, If you are only unhappy with the bridge of your nose, cannot get glasses to fit, ect, there are 2 options. 1) Nonsurgical rhinoplasty. In the office injectable fillers like Juvederm or Radiesse can be placed along the bridge of your nose to add height. There is no real downtime, it is economical, and the fillers last about a +/- year. 2) Limited rhinoplasty: If you are only concerned with the bridge of your nose... more

Cartilage grafting in rhinoplasty

Septal cartilage less forgiving and less abundant (especially in Asian nose) than diced cartilage and fascia graft, composed of septal and/or ear cartilage. You may need tip graft as well, and restricting yourself to septum as the only source limits the amount of correction that can be achieved.

Ribs etc.

Rib grafts leave scars but can work very well in rhinoplasty. Silastic dorsal grafts also work well but can shift or become infected. Auricular grafts work well but tend to disappear over time. There are other alloplastic grafts available but each material has pros & cons. Consult your favorite Cosmetic Surgeon for a further consultation!

Rhinoplasty

I am not sure why it should be that much more expensive since you do not have to pay for the price of implants. You have another options available to you which is ear cartilage from one or both ears. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship. more