For augmentation of a bridge, is it common to find enough septal or ear cartilage for a flat, Asian nose?
Doctor Answers 8
Options for dorsal augmentation during Asian rhinoplasty
The recovery from the rib harvest is simultaneous with recovery from your Asian rhinoplasty, so once the cast and sutures come off from your nose, your rib harvest site will be nearly fully healed.
Depending on the height of your bridge before surgery, and the degree of augmentation you desire, you may have sufficient cartilage from your septum and one ear, your septum and two ears, or your surgery may necessitate rib cartilage.
Dorsal augmentation with nasal cartilage
Silicone nasal implants may be well tolerated in Asian patients seeking dorsal augmentation Rhinoplasty Surgery.
In South East Asia, silicone nasal implants are used with greatest frequency, as compared to other implants, and when placed properly, are well-suited for Asian thick skin. The risk of infection over a lifetime may be around 5%.
You may benefit from consulting several rhinoplasty experts so you could see what might be best for you.
Hope this helps you.
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Nasal a bridge augmentation
These include nasal septum, ear or rib (costal) cartilage.
For me, the decision is made based on how deficient the bridge is. If there is a small deficiency, I often use diced ear (auricular) or septal cartilage placed in a fascial graft (usually temporalis fascia)
If the deficiency is larger and more augmentation is needed, I usually advise rib cartilage
Nasal augmentation of bridge
Augmenting Nasal Bridge
Cartilage for Asian rhinoplasty
The answer to your question about asian rhinoplasty totally depends on how much height is required in the bridge and tip areas. An experienced rhinoplasty surgeon can give you an idea of how much can be achieved with each of the following options:
If you need a moderate amount of change, septal or ear cartilage is a good option. For more significant changes during your rhinoplasty surgery, rib cartilage is usually best. While the region is a bit sore for 7-10 days, the recovery is not nearly as bad as you might expect. I also think that it is a good idea to avoid silicone implants in the nose as you mentioned.
In your area, you might want to consider seeing Dr. Shan Baker at U of M for an opinion.
Asian Rhinoplasty, cartilage graft from the ears, Fascia graft
thanks for your great question.
Based on extensive experience in rhinoplasty, I have found that sometimes, there is not enough septal cartilage available to be harvested while keeping the structure of the nose intact.
For large volume requirements, one needs to harvest from the ears as well which is very easy procedure.
I typically, dice that cartilage and place it within the fascia graft for best cosmetic result.
Hope this was helpful.
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