DCF (Cadaver Rib) for dorsal augmentation. Have you seen any complications with this procedure?

Question

Are any doctors who have done/are familiar with such a procedure seen any complications? Is the absorption rate the same as DCF with your own rib? Any differences? Thanks.

Gerald Minniti, MD, FACS · Answer

This is a very user friendly onlay graft that produces a predictable and problem free dorsal augmentation. The fascia component makes a distinct difference in the degree of resorption. There appears to be no difference between your rib or fresh frozen cadaver rib cartilage, but irradiated rib cartilage will resorb faster.

Pejman Aflaki, MD · Answer

Hello and thank you for your question. I have used MTF cadaveric cartilage routinely in my revision rhinoplasty cases with good results.  My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I routinely have used cadaver rib in the more difficult rhinoplasty reconstructions.  I find it very helpful and have not seen any complications associated with its use.  The long-term studies have shown that it does not reabsorb.  The only downside is it tends to be on back order a lot.  Best wishes to you.

Johnson C. Lee, MD · Answer

Cadaveric rib for dorsal augmentation is very similar to using your own rib in terms of resorption rate and risk of warping. There are techniques which can be used during your surgery to minimize these risks but both cadaveric and your own rib are good options for dorsal augmentation. Hope this helps!Johnson C. Lee, MD Board-Certified Plastic Surgeon

DCF (Cadaver Rib) for dorsal augmentation. Have you seen any complications with this procedure?

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