Fibrin glue? Rhinoplasty?

Question

I wanted to find out the purpose of fibrin glue when it comes to rhinoplasty. Could someone tell me what this is? What purpose does it serve in a rhinoplasty? I was told my a perspective doctor it would be used but was not given an explanation. Are there any negative side effects? Thank you

David C. Pearson, MD · Answer

Fibrin glue is theoretically used to reduce the chance of a hematoma (a blood collection) or seroma (fluid collection) during some surgeries. Hematomas and seromas after rhinoplasty though, are exceedingly rare. I've never had one and I don't know any colleagues who've had one from a rhinoplasty. Even in cases where hematomas and seromas can occur, the published results from the use of fibrin glue are decidedly mixed with many studies showing no benefit. Its use in rhinoplasty would likely do nothing more than drive up the cost of the procedure. I see no benefit from it at this time.All the best,
--DCP
Pearson Facial Plastic Surgery®

Zoran Potparic, MD · Answer

Fibrin glue is a fibrin (blood derived protein involved in coagulation) based tissue glue used in areas where there is bleeding over the large surface or to seal cut tissues together to prevent formation of fluid (blood, seroma) in the wound. It is very hard to find a good reason for use of this costly product in standard rhinoplasty. Good luck.

Gregory DeLange, MD · Answer

There is absolutely zero benefit using fibrin glue during a rhinoplasty.  There has never been a controlled study demonstrating its benefits during this simple healing procedure and be very careful using someone who suggests its benefits.  Nevertheless, it will no do any harm except maybe to your wallet.

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,Fibrin is a protein found in our bodies that is involved in the clotting process. The protein is isolate and place in a delivery device. I have found it to be expensive, and in my experience not really offer any benefit. The idea is, the glue will help the surfaces stick together faster and therefore a lesser risk of haematoma. I've never seen an objective data showing any significant t benefit. Again, it is typically expensive. Good luckStephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
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