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Thank you for the great question. One of the major advantages of diced cartilage in fascia (DCIF) or diced cartilage fibrin glue grafts is that they don't warp. Warping is a common problem with rib grafts that are placed en bloc (as a large piece). The diced grafts don't have the same internal structure and can be custom shaped. Best of luck moving forward!
It looks like you also had some reshaping of the tip: i.e. a rhinoplasty. Tip projection can be restored with a cartilage graft but sine your septum has been resected this would require rib cartilage. it is possible the cadaver rib could be used.
The best way to augment the dorsum with a controlled shape is finely morselized cartilage Inam fascial wrap. A single cartilage graft will have a high risk of edges. Using filler to give a temporary result would help you visualize what you want. Revision rhinoplasty with cartilage graft...
In general grafts can be removed, modified or trimmed. It would be important to evaluate you in person to see the area of concern. Sometimes a surgical simulation tool using Vectra technology can facilitate communication.
A graft is either held in place by dissolvable sutures or by forming a precise pocket. During the healing process it can occasionally shift slightly but this is infrequent. However it is one reason to prefer underlay grafts to onlay grafts. An underlay gray will never show. Sometim...
This is a difficult problem. The cartilage inside the nose is asymmetric and retracting on the left side. The best way to attempt a correction would be with surgery. Either a cartilage graft or composite graft internally can be contoured to improve the defect with a permanent result. Be sure to...
You have higher risk of complications with the third surgery and the benefits will not be that remarkable. If your nose looked horrible then it would be worthwhile to take the chances. RegardsDr. J
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