I read so many different things about grafting for lengthening and what techniques look better or last a long time. Can someone explain to me the different techniques that might be used? Does grafting with fascia look bumpy later on? What techniques give quality, long lasting results?
July 23, 2018
Answer: Material for grafting in rhinoplasty: rib, fascia, ear cartilage Material used for grafting during rhinoplasty is chosen depending on the amount needed and the purpose for the graft. When a large amount of structural support is needed, particularly in reconstruction, rib cartilage is used because large blocks can be harvested. This material can warp over time and, as with any graft, can shift position if not properly secured. Rib cartilage harvest leaves a chest scar and has the potential complication of a collapsed lung caused during harvest.When less material is needed ear cartilage is used. This is a common practice, has little to no morbidity, and is a mainstay for rhinoplasty operations, both cosmetic and reconstructive. Septal cartilage is also commonly used, but this can be more difficult to harvest and has some additional, though minor, risks, especially in inexperienced hands.Fascia is used when there is need for bulk without support. Diced cartilage can also be used for this. Both fascia and diced cartilage can shift or resorb but in general both methods are safe and effective.For best results be sure to consult a surgeon certified by the American Board of Plastic Surgery who has a good deal of experience with grafting and rhinoplasty. A thorough review of his/her portfolio of pre- and post-op pictures should give you an idea of the results that are reasonable to expect.
Helpful 3 people found this helpful
July 23, 2018
Answer: Material for grafting in rhinoplasty: rib, fascia, ear cartilage Material used for grafting during rhinoplasty is chosen depending on the amount needed and the purpose for the graft. When a large amount of structural support is needed, particularly in reconstruction, rib cartilage is used because large blocks can be harvested. This material can warp over time and, as with any graft, can shift position if not properly secured. Rib cartilage harvest leaves a chest scar and has the potential complication of a collapsed lung caused during harvest.When less material is needed ear cartilage is used. This is a common practice, has little to no morbidity, and is a mainstay for rhinoplasty operations, both cosmetic and reconstructive. Septal cartilage is also commonly used, but this can be more difficult to harvest and has some additional, though minor, risks, especially in inexperienced hands.Fascia is used when there is need for bulk without support. Diced cartilage can also be used for this. Both fascia and diced cartilage can shift or resorb but in general both methods are safe and effective.For best results be sure to consult a surgeon certified by the American Board of Plastic Surgery who has a good deal of experience with grafting and rhinoplasty. A thorough review of his/her portfolio of pre- and post-op pictures should give you an idea of the results that are reasonable to expect.
Helpful 3 people found this helpful