Please let me know which grafting material would be best to restore my preoperative height. Please look at my before and after and provide feedback. Thanks.
Answer: Dorsal over-correction after a rhinoplasty can be corrected Hello,Thank you for your question, and images. It appears from your picture that the contour is acceptable, not excessive. However with a full set of full face images I could better tell. As far as correction, this is commonly done with the placement of a graft. The type of graft used is best left for your surgeon to address; much depending on the amount of correction to obtain, as well as his/her experience.Best,Sergio Maggi, MD, FACSdrmaggi.com
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CONTACT NOW Answer: Dorsal over-correction after a rhinoplasty can be corrected Hello,Thank you for your question, and images. It appears from your picture that the contour is acceptable, not excessive. However with a full set of full face images I could better tell. As far as correction, this is commonly done with the placement of a graft. The type of graft used is best left for your surgeon to address; much depending on the amount of correction to obtain, as well as his/her experience.Best,Sergio Maggi, MD, FACSdrmaggi.com
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CONTACT NOW April 10, 2017
Answer: Radix augmentation There are a variety of options available to augment the radix. Septal cartilage is preferable if it is available. However, since you had previous rhinoplasty, you may not have any septal cartilage left. In that case, rib cartilage or ear cartilage are options. For most of the revision rhinoplasties that I perform, I prefer rib cartilage, because it is more plentiful and you can also use the perichondrium of the rib to help obscure any rough edges.
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Answer: Radix augmentation There are a variety of options available to augment the radix. Septal cartilage is preferable if it is available. However, since you had previous rhinoplasty, you may not have any septal cartilage left. In that case, rib cartilage or ear cartilage are options. For most of the revision rhinoplasties that I perform, I prefer rib cartilage, because it is more plentiful and you can also use the perichondrium of the rib to help obscure any rough edges.
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April 10, 2017
Answer: After finally viewing the images The dorsal shave was not an atrocity but I undersand your unhappiness; the amount of missing dorsum is not massive and is mainly concentrated on the radix, in a decrease to the tip.
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April 10, 2017
Answer: After finally viewing the images The dorsal shave was not an atrocity but I undersand your unhappiness; the amount of missing dorsum is not massive and is mainly concentrated on the radix, in a decrease to the tip.
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April 10, 2017
Answer: Dorsal augmentation for revision rhinoplasty Hi there, I am having a hard time telling the exact shape of the bridge in the after photo. It looks to me like there is a slight depression where the bones end and the cartilage starts, am I correct? If it is, I do think it is possible to augment the depressed spot and give you a straight bridge. If the bridge is currently straight, and you want to get the small bump back I think that would very hard. Making the exact shape of the bump is likely not possible.As far as which material to use, it really depends on what was done and what cartilage is available. On first glance, I would hope remaining septal cartilage and possible auricular cartilage would be enough. If the available cartilage is not sufficient rib cartilage is a good option. Sometimes I recommend using temporalis fascia to cover the bridge and prevent irregularities from showing from under the skin.Hope this helps. Good luck
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April 10, 2017
Answer: Dorsal augmentation for revision rhinoplasty Hi there, I am having a hard time telling the exact shape of the bridge in the after photo. It looks to me like there is a slight depression where the bones end and the cartilage starts, am I correct? If it is, I do think it is possible to augment the depressed spot and give you a straight bridge. If the bridge is currently straight, and you want to get the small bump back I think that would very hard. Making the exact shape of the bump is likely not possible.As far as which material to use, it really depends on what was done and what cartilage is available. On first glance, I would hope remaining septal cartilage and possible auricular cartilage would be enough. If the available cartilage is not sufficient rib cartilage is a good option. Sometimes I recommend using temporalis fascia to cover the bridge and prevent irregularities from showing from under the skin.Hope this helps. Good luck
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April 10, 2017
Answer: Best Grafting Material o Augment Bridge You will get a variety of response to your question but I have used diced cartilage from the septum or ear with a fascia wrap for many years to augment a bridge like yours. Survival is excellent and rough edges from a cartilage strip graft is avoided.
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April 10, 2017
Answer: Best Grafting Material o Augment Bridge You will get a variety of response to your question but I have used diced cartilage from the septum or ear with a fascia wrap for many years to augment a bridge like yours. Survival is excellent and rough edges from a cartilage strip graft is avoided.
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