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Techniques in transfixing nasofrontal augmentation grafts.

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RevisionSeeker23Mar 30, 2017

I had a disastrous primary which involved the surgeon removing my rasping my radix and bony base down significantly. I am very interested in nasfrontal augmentation. I am interested using coastal cartilage for this and would like to know how grafts are transfixed at the glabella to prevent migration and warping? I want to have an onlay graft that's constructed out of coastal cartilage to cover the bony area of the nasion and not the middlevault. I want to use ear and septal for the middle vault

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Dr. Alejandro Nogueira, MD
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Dr. Alejandro Nogueira, MD
Plastic Surgeon
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Answered on Apr 4, 2017
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Alejandro Nogueira, MD

Seek better opinions... it is a RULE in revision rhinoplasties to meet a shortfall of cartilage in noses, therefore us, the real experts in revisions, do turn to harves ear's concha bowl, rib cartilage, temporal fascia, etc.

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Alejandro Nogueira, MD

I might be likely wrong, of course, but as per how your nostrils look fron underneath, so fake and unnaturally stretched forwardly, and how your tip points and is projected, I'd bet your surgeon applied a strut graft with random criterion in a non-indicated case, this means unnecessarily... in a...

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Alejandro Nogueira, MD

Thanks for the images, they are the ones I meant.I think you can get even a better profile and dorsum than you had before (I mean the profile view).Your supratip is currently thick and broad, but your middle vault is pinched, a contradiction? not that much:-the broadness of the middle vault is...

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Alejandro Nogueira, MD

I think I understand what caused this problem: uncontrolled vertical fracture of the left nasal bone.You had a small and not very prominent dorsal hump >>> the surgeon shaved just a bit of dorsum >>> the nasal bones did not freed from each other and a synostosis (bone fusion) between them and...

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Alejandro Nogueira, MD

A short nose, congenital or iatrogenic, indeed needs re-support by means of caudal push down; the most suitable and at the same time difficult option is the caudal extension grafts, simple or asociated with columelar L assembled strut graft. They need supply of ear, septal if available or in ...

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Alejandro Nogueira, MD

...as long as the surgeon and procedure are "safe" and reliable; seems your nose still shows imperfections and unsolved issues, specially a remain of the hump and a very poor result at the tip, without definition, oversized, too projected etc.Seek the advice of a real expert in revisions.

+5 answers
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