I am Asian male, with thick skin, very low nasal bridge, I have consulted with several rhinoplasty surgeons, all of them recommend rib harvest to augment my nose, but some recommend using the Diced cartilage fascia (DCF) technique and some recommend using a Solid piece of rib, my goal is to have a higher and natural nose bridge, doesn't have to be too high but defined. What's the different between the two techniques and why? Thank you.
November 6, 2018
Answer: Rib or diced cartilage/fascia? Rib or diced cartilage/fascia? As you can tell from multiple answers of different techniques each surgeon has his own preference. I haven’t had to use rib to raise a low dorsum over 40 years. Forget the technique and focus on results with Asian noses and major Revision rhinoplasty with low dorsums.
Helpful 1 person found this helpful
November 6, 2018
Answer: Rib or diced cartilage/fascia? Rib or diced cartilage/fascia? As you can tell from multiple answers of different techniques each surgeon has his own preference. I haven’t had to use rib to raise a low dorsum over 40 years. Forget the technique and focus on results with Asian noses and major Revision rhinoplasty with low dorsums.
Helpful 1 person found this helpful
November 2, 2018
Answer: Dorsal augmentation Hello and thank you for your question. For dorsal augmentation, I recommend diced cartilage wrapped in fascia (DCF). DCF does not have the risk of warping over time, which a rib graft has. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful
November 2, 2018
Answer: Dorsal augmentation Hello and thank you for your question. For dorsal augmentation, I recommend diced cartilage wrapped in fascia (DCF). DCF does not have the risk of warping over time, which a rib graft has. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful