What's the best type of cartilage for building the bridge? Is it ear cartilage? Is it a very difficult procedure? How big is the risk for unevenness - bumps or dents? I have very thin nose skin, could a satisfactory result be achieved(not too much unevenness)? Thanks!
Answer: Diced cartilage Hi,The best material to build up the dorsum is cartilage. Implants are also available but there is a risk of infection and shifting. In order to minimize the risk of warping and contour irregularities, the cartilage is finely diced and in some instances wrapped in fascia (fibrous sheet harvested from over the temple). Ear cartilage can be used but the amount of ear cartilage available is limited so in some instances both ears may be needed. A better source of cartilage is the septum and if the septum is not available then rib cartilage. This is certainly a more advanced procedure but when done with precision and care the risk of unevenness/bumps, etc are greatly reduced. Good luck,Mehdi Sina, MD
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Answer: Diced cartilage Hi,The best material to build up the dorsum is cartilage. Implants are also available but there is a risk of infection and shifting. In order to minimize the risk of warping and contour irregularities, the cartilage is finely diced and in some instances wrapped in fascia (fibrous sheet harvested from over the temple). Ear cartilage can be used but the amount of ear cartilage available is limited so in some instances both ears may be needed. A better source of cartilage is the septum and if the septum is not available then rib cartilage. This is certainly a more advanced procedure but when done with precision and care the risk of unevenness/bumps, etc are greatly reduced. Good luck,Mehdi Sina, MD
Helpful 1 person found this helpful
Answer: Best material for dorsum augmentation Hello Chilly
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Answer: Best material for dorsum augmentation Hello Chilly
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November 28, 2017
Answer: Dorsal Augmentation Rhinoplasty The best material is your own cartilage. Having thin skin means that the surgeon should use fine pieces of cartilage from either septum, ear or rib. This is not a particularly difficult operation for a well versed rhinoplasty surgeon. Unevenness is rare if super fine cartilage grafts are used. If the skin is very thin then the cartilage can be camouflaged using your own fascia such as the one covering your temporalis muscle. Depending on the reason for your low dorsal height, you may need other cartilage grafts such spreader or even septal reconstruction. Hope this is helpful.
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November 28, 2017
Answer: Dorsal Augmentation Rhinoplasty The best material is your own cartilage. Having thin skin means that the surgeon should use fine pieces of cartilage from either septum, ear or rib. This is not a particularly difficult operation for a well versed rhinoplasty surgeon. Unevenness is rare if super fine cartilage grafts are used. If the skin is very thin then the cartilage can be camouflaged using your own fascia such as the one covering your temporalis muscle. Depending on the reason for your low dorsal height, you may need other cartilage grafts such spreader or even septal reconstruction. Hope this is helpful.
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November 29, 2017
Answer: Rhinoplasty concerns Hi there,
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November 29, 2017
Answer: Rhinoplasty concerns Hi there,
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November 29, 2017
Answer: Dorsal grafts - rhinoplasty I prefer using a patient's own tissue rather than artificial implants. Grafts can be solid or softer. Septum, ear or rib cartilage can be used depending on how much is needed and what is available. The advantage of softer grafts like diced cartilage is that the chance of a visible edge is less likely. This cartilage can be wrapped in fascia if a lot is needed for the bridge. If only a small amount of building up is needed under thin skin then temporalis fascia taken from the scalp is a good choice.
Helpful 1 person found this helpful
November 29, 2017
Answer: Dorsal grafts - rhinoplasty I prefer using a patient's own tissue rather than artificial implants. Grafts can be solid or softer. Septum, ear or rib cartilage can be used depending on how much is needed and what is available. The advantage of softer grafts like diced cartilage is that the chance of a visible edge is less likely. This cartilage can be wrapped in fascia if a lot is needed for the bridge. If only a small amount of building up is needed under thin skin then temporalis fascia taken from the scalp is a good choice.
Helpful 1 person found this helpful
