Dorsal bone augmentation?

If you were to add a graft on the bony dorsum, would the graft become ossified once completely healed? Like it would be embedded as one structure?

Doctor Answers 7

Dorsal augmentation

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Most surgeons will use cartilage grafts to add volume to the dorm, and this won't ossify, but will scar in with the adding structures.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Dorsal Bone Augmentation

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The bridge of the nose is best augmented using cartilage taken from the septum, ears, or ribs. It does not ossify but does become integrated into the surrounding normal tissue so that it will not shift or extrude after healing is complete, avoiding these complications which may occur long after placement of synthetic grafts.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Dorsal onlay graft

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Hello and thank you for your question.  A dorsal onlay graft consisting of a cartilage graft does much better than a bone graft in the nose for the purpose of dorsal augmentation.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 173 reviews

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There are a number of options for dorsal augmentation in rhinoplasty

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Among the options for dorsal augmentation are your own tissues such as septum or rib cartilage. Also some surgeons use implants made of Gortex or Silicone. I personally prefer natural materials. These can be solid grafts of cartilage or diced cartilage reconstituted with tissue glue or wrapped in fascia. A well formed natural implant does not necessarily ossify but sits solidly on the nose so you can't tell its not natural.

Steven J. Pearlman, MD
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Nasal Grafts

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The issues for nasal grafts to the nasal dorsum is whether they will persist or resorb.  The choice of graft can vary depending on the situation.  They are frequently obtained from the nasal septum, ear or ribs.  It should be noted that although uncommon, any graft can resorb over time.  If it were to resorb a repeat graft might be necessary.

Paul Carniol, MD
Summit Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Bone augment

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If you mean wil a bone graft work then the answer is that generally bone grafts on the nose are unpredictable and tend to resorb - cartilage grafts will incorporate and stick down nicely and feel exactly like bone and are the gold standard

Dorsal augmentation

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Although there are several options for augmenting the dorsum, cartilage grafts are the most commonly used by Board-Certified plastic surgeons.  After the graft has healed in place, it incorporates making it look and feel like a bony dorsum.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.