Can rib cartilage be used alone to increase dorsal area of nose and also help to lengthen and create a defined tip. Or should I use implant for dorsal and ear cartilage for tip .
May 12, 2014
Answer: Raise dorsum and lengthen nose. Raise dorsum and lengthen nose. To lengthen the nose depending how much a composite graft of skin and cartilage from the ear is required. See an experienced rhinoplasty surgeon.
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May 12, 2014
Answer: Raise dorsum and lengthen nose. Raise dorsum and lengthen nose. To lengthen the nose depending how much a composite graft of skin and cartilage from the ear is required. See an experienced rhinoplasty surgeon.
Helpful
May 9, 2014
Answer: What material is best to use for dorsal augmentation. Provided there is no need for restoring structural support to the cartilage/bony dorsum (ie. relatively intact nasal bones and septum), a diced rib - temporalis fascia cylindrical graft is currently the ideal method to augment the dorsum. If significant dorsal support is necessary then solid rib is the best choice. In order to increase nasal length a solid cartilage reconstruction of the dorsum and caudal septum are necessary. Depending on the degree of desired tip definition and the skin thickness, options to increase tip definition include: cartilage tip graft (more powerful) versus suture tip-plasty (less powerful). It sounds that you are referring to revision rhinoplasty in the over-resected nose...if so, the maneuvers you are seeking are some of the most challenging goals is rhinoplasty, so your expectations need to be realistic.Mario J. Imola, MD, DDS, FRCSC.
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May 9, 2014
Answer: What material is best to use for dorsal augmentation. Provided there is no need for restoring structural support to the cartilage/bony dorsum (ie. relatively intact nasal bones and septum), a diced rib - temporalis fascia cylindrical graft is currently the ideal method to augment the dorsum. If significant dorsal support is necessary then solid rib is the best choice. In order to increase nasal length a solid cartilage reconstruction of the dorsum and caudal septum are necessary. Depending on the degree of desired tip definition and the skin thickness, options to increase tip definition include: cartilage tip graft (more powerful) versus suture tip-plasty (less powerful). It sounds that you are referring to revision rhinoplasty in the over-resected nose...if so, the maneuvers you are seeking are some of the most challenging goals is rhinoplasty, so your expectations need to be realistic.Mario J. Imola, MD, DDS, FRCSC.
Helpful
