DCF, Rib Cartilage Onlay or the new “Push-up” technique?

Question

Hello doctors, I am considering a revision rhinoplasty to remove silicone implant and define the shape of my nose. I’ve been researching the various methods to build dorsum after the implant removal and am feeling unsure. Is anyone familiar with the new push-up technique using the sub dorsal cantilever graft? Do you recommend it over DCF or onlay?

Gary M. Horndeski, MD · Answer

The technique I use is septocartilage as a spreader graft to create more projection of the tip.

Best Wishes,

Gary Horndeski, M.D.

Samuel Lin, MD, FACS · Answer

Thank you for the question. Yes, removal of a prior silicone implant and replacement with rib cartilage for adding projection/volume to the bridge of the nose is possible in certain cases. In these cases I review with the patient the size of the silicone implant, etc and complete medical/surgical history in planning. I would consult with a rhinoplasty surgeon who is experienced in this area..

DCF, Rib Cartilage Onlay or the new “Push-up” technique?

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Everything you need to know about Revision Rhinoplasty

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DCF, Rib Cartilage Onlay or the new “Push-up” technique?

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.