Pros and Cons of Fascia Grafting in Rhinoplasty?

Building up the bridge can be done with several different materials. Implants can consist of, ear cartilage, septal cartilage, rib cartilage, or fascia. Potential complications include infection, hematoma, asymmetry, loss of a portion of the graft, need for another procedure. These materials are commonly used in primary and revision surgery. Healing time is roughly similar for the different materials.

Hello from Istanbul, thanks for your question. Using ear or rib cartilage grafts to enhance the bridge's support and definition is a common practice in rhinoplasty. Complementing this, fascia is used as a scaffold, guiding the cartilage grafts to maintain the intended shape. Thanks to its rich blood supply, fascia not only ensures the cartilage's vitality but can also address deficiencies in soft tissue in specific areas. While fascia may sometimes cause increased swelling (edema), these are quite rare, and when they do arise, they generally resolve naturally. Best of luck!

The potential risks of using cartilage and fascia are as follow:

1) Asymmetry
2) Irregularities
3) Infection

Keep in mind that the risk of infection is dramatically lower when using your own natural tissue and cartilage compared to using an artificial implant. They are readily accepted by your body, and yield a natural result. It is perfectly normal to use autologous tissue and cartilage for a primary rhinoplasty, they are not just for revisions. The healing time will not be any different. I hope this helps, and I wish you the best of luck with your surgery.