What will happen if I get a DCF rhinoplasty without undergoing dorsal hump reduction?

Question

Will the shape of the dorsal hump translate through the implant?

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  It is difficult to answer your question without a photograph or an in-person examination.  However, if you are considering camouflaging a dorsal hump with augmentation from diced cartilage and temporalis fascia (DCF), you can likely accomplish the same thing with nasal fillers.  I don't suggest this as your nose will be augmented overall (made bigger) to camouflage the hump.  Moreover, I tend to avoid temporalis fascia harvesting as this may cause alopecia along the incision site.  I prefer mastoid fascia for my rhinoplasties.

The next step for you is to find the right aesthetic plastic surgeon.  In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Ronald Schuster, MD · Answer

DCF is an abbreviation for Diced Cartilage in Fascia. It is frequently used in rhinoplasty to raise the dorsum of the nose. It can be raised completely or just in certain areas, like the very top, which can hide a dorsal hump. It is important to discuss at your consultation your specific goals of how you want you nose to look. An experienced rhinoplasty surgeon will then examine you and make recommendations. many patients do not like their "hump". Most of the time surgery reduces the hump. But sometimes it is bet to "hide" it by raising the low areas.

Donald B. Yoo, MD, FACS · Answer

For dorsal augmentation, a well-executed DCF graft will provide more natural appearing contours without the risk of warping or resorption. Further evaluation would be needed for your nose but if you needed a dorsal hump reduction, that would create a smoother contour before placing DCF onto the bridge. If you want the best idea of what is possible for your nose, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! It depends on what the DCF is being used for. It's typically for augmenting the bridge. Potentially, your surgeon wants to raise the radix and supratip areas to avoid doing anything to the hump. If that's the case, it's possible it won't show through. I would seek clarity on exactly what the DCF is being used for. That will help to determine if show-through will be an issue. Hope this is useful!

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial and nasal photographs from all angles to make a determination about which techniques are required. A DCF rhinoplasty augments the bridge, but if you have a dorsal hump that's shaved down during rhinoplasty. Not sure why you would need both procedures

What will happen if I get a DCF rhinoplasty without undergoing dorsal hump reduction?

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