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Does fascia grafting have to be an open procedure?

I am considering getting fascia grafting to thicken my skin at the tip ends, however I really don’t want an open procedure. Is there a way to just slide it in through an incision in the nostril(s). Will that help the nose from feeling cold/increase circulation too?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Sep 27, 2022
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Ahmad N. Saad, MD, FACS

If cartilage is needed in secondary rhinoplasty, the most commonly used sources are the ribs or the ear concha (removed through a hidden scar and does not leave any deformity). The decision to was source to use depends on the amount of cartilage that is needed and the experience of your surgeon....

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David M. Kowalczyk, MD, MBA, FACS

Hi there! A rasping procedure in the OR can help with reducing irregularities. If there's concern for an open roof, it could make the problem worse and widen the nose. Many times, careful palpation in clinic and observation of the bony vault and cartilage in surgery tells a lot. A open roof...

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Bianca Knoll, MD

Thank you for posting your pictures and your question. By this time, it is likely that your tip remains in a similiar position. I agree with you, that a less rotated nasal tip would look better. Your dorsum looks beautiful, and is very nicely defined. Your result would match much better, if the...

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