Can a fascia lata graft be used instead for rhinoplasty revision?

Question

I've been told by a few doctors that I'll need a fascia graft for my revision rhinoplasty because I have thin nasal skin. One doctor told me he would cut at the hairline behind the ear and not in my actual hair to harvest the fascia. I prefer he cut there and not in my hair, but I'm worried about visible scarring and long term complications from harvesting from this area. Do I need to be worried about a visible scar or any long term complications?

Christian L. Stallworth, MD · Answer

Thanks for your question.  Fascial grafts can be a fantastic addition to a rhinoplasty surgery when needed, and yes, you can use fascia lata.  However, temporalis fascia is more supple, easier to access since it will be in the same operative field as your face when undergoing the rhinoplasty, and is more commonly use with excellent outcomes and tolerance.  I would be more concerned about making sure you have the best nasal surgery possible.  A scar in the scalp, behind the ear, or on the thigh can always be revised - and far easier than revising a rhinoplasty.  In addition, having a visible scar behind the ear or in the hairline is FAR less conspicuous and easier to conceal than a poorly done nasal surgery.  Talk about your conners with your surgeon.

Can a fascia lata graft be used instead for rhinoplasty revision?

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