Dermal Fat Graft for Touch Up After Primary Rhinoplasty?

My surgeon wants to use dermal fat graft from behind my ear to fill an area on the side of the bridge closer to the poly beak after my original rhinoplasty. It appears to have some irregularities and possible loss of cartilage. What is your take on that? Is it the best solution for my problem? What would you use? Will it be permanent solution? Will I need touch up after its done? Will it give me good results? What would you recommend? How soon can it be done?

Doctor Answers 6

Visible irregularities following rhinoplasty surgery

If you have thin skin and sharp edges of cartilage or bone following a rhinoplasty these changes may be visible.  A dermal fat graft may be a possible solution to this problem.  A full examination would be needed to give your a definitive answer to your question.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Touch up for rhinoplasty with dermal graft?

Without an exam, it is difficult to say whether or not that is a good idea for your specific issue. Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Dermal Graft for Rhinoplasty Irregurlarity

Hi, It sounds like a reasonable solution but difficult to say without actually seeein your nose. You can probably do this 6 months after your initial rhinoplasty. Best, Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 reviews

Fat grafiting for touch up Rhinoplasty

Its hard to comment without any pictures.I have a feel that your PS suggested dermo-fat grafting from behind the ear and not the fat grafting since there in no fat to harvest from this donor area.

If its a dermo fat graft I think its a good permanent solution and is better than using any synthetic material which may look great for several years but may come out with unexpected outcome that is not known to any one.

wishing you all the best

A Non-Surgical Rhinoplasty treatment may be used, in select cases, to add volume to the bridge of your nose.

Without a photo, it is not possible to comment on the advisability of fat grafting to your nose. In my practice, when volume needs to be added to the nasal bridge to improve aesthetics, I prefer to use Silikon-1000, an off-label filler for permanent results. I have no personal experience with fat grafting for nasal rejuvenation.

All the best to you.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

Dermal Fat Graft for Camouflage after Rhinoplasty

    A dermal fat graft is a reasonable solution.  A filler of some sort could be used.  Cartilage graft could be used.  All may be appropriate for your case.  Dermal graft should vascularize well in the nose, but the answer depends upon the nature of your deformity and how each of these techniques is utilized.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 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.