Diced Cartilage Wrapped in Fascia for Creating Some Height in Revision? (photo)

I got inverted V dr said it'll be fixed with spreader grafts and on top can be layed dcf. He gave me the choice between donor rib and my own rib, I said I want donor but now I am concerned because the high resorption rate of it. What would you recommend for dcf donor or autolog rib? I want to ask the dr to put 2 layers of fascia over the DC to minimalize the risk of graft visibility. Also would 2 layers be more protective when I hit my nose accidently considering graft visibilty that can occur?

Doctor Answers 2

Diced cartilage and nasal dorsum

Diced nasal cartilage from your septum or rib is fine. Irradiated is a good substitute with no donor site morbidity.

New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Diced cartilage wrapped in fascia for dorsal augmentation

While some have reported consistent, long-term results with irradiated rib, most surgeons prefer the viability and permanence of autologous rib.  

The advantage of diced cartilage is that it virtually elimanates graft visibility.  With a single layer of fascia, graft visibility is not an issue as long as the cartilage is diced into appropriately small pieces.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 51 reviews

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