Diced Cartilage Wrapped in Fascia for Nasal Revision
I've used diced cartilage wrapped in fascia for a long time because the survival of the graft is excellent and it can be molded to avoid the sharp edges of solid cartilage and bone grafts. It looks and feels like normal bone and cartilage after healing is complete,
Diced Cartilage Wrapped in Temporalis Fascia in Revision Rhinoplasty
Diced Cartilage Wrapped in Temporalis Fascia (DCTF) is a superb way to increase bridge height. The graft feels natural once healed, and far superior to rigid rib, bone or other cartilage grafts. The survival is excellent in the long term. As in any graft, there are possible complications, but the DCTF is less likely to have typical graft complications (edges showing, shifting, loss of correction) than other dorsal grafts in revision rhinoplasty.
Revision Rhinoplasty Diced Cartilage wrapped in Fascia
Hello Hoskel - Thanks for your question. A DCF graft for bridge augmentation is a wonderful procedure that I use routinely, especially in my Asian and African-American rhinoplasty patients. It looks and feels very natural once tissue ingrowth is completed. It typically does not feel hard like bone, solid rib graft, septum, or Medpor. I can guarantee that if you saw one of my patients with their DCF graft, you couldn't tell that the augmentation was surgical. You would swear that it looks like they were born that way. I have developed a way of finely chopping the cadaver rib graft I typically use that creates a very high surface area to volume ratio for each tiny piece of cartilage. This helps create a compact graft that can revascularize more efficiently (in my opinion.) 40% of my practice involves revision rhinoplasty. I would be happy to discuss your case by Skype if that would help? Check out my blog article below about Revision Rhinoplasty...Good luck, Dr. Shah
I personally like diced cartilage wrapped in fascia. There are a number of technical variables that effect the final result. As far as your question does it look like bone the answer is no. I feel the appearance is superior to bone grafts in my experience.