I am seeing differing opinions amongst doctors involving the treatment of thin skin using temporalis fascia. However it seems that placing temporalis fascia is a better option than using implants to thicken skin? Please share your thoughts on the pros and cons and especially long term prognosis and also the recovery period of what to expect.
February 21, 2014
Answer: TempuraLis graft I would need to know why you believe the skin needs to be thickened. It is much more common for the opposite problem to exist, that is, skin on the nasal tip that is too thick.using a fascia graft on the tip could make the tip look fat, and I can't imagine the situation where it would be worthwhile. Some surgeons use it on the bridge to camouflage imperfections, but I have never found it necessary.
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February 21, 2014
Answer: TempuraLis graft I would need to know why you believe the skin needs to be thickened. It is much more common for the opposite problem to exist, that is, skin on the nasal tip that is too thick.using a fascia graft on the tip could make the tip look fat, and I can't imagine the situation where it would be worthwhile. Some surgeons use it on the bridge to camouflage imperfections, but I have never found it necessary.
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Answer: Temporal fascia in rhinoplasty Temporal fascia is a very useful graft for increasing the thickness of the soft tissues during rhinoplasty. In patients with thin skin, it can be used to help camouflage irregularities of the bone/cartilage framework. It provides subtle volume augmentation when used and can also be combined with cartilage, in particular diced cartilage (diced cartilage-fascia), for even greater volume augmentation. Temporal fascia being your own tissue and also being thin, typically revascularizes well in the nose and should be very stable longterm.
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Answer: Temporal fascia in rhinoplasty Temporal fascia is a very useful graft for increasing the thickness of the soft tissues during rhinoplasty. In patients with thin skin, it can be used to help camouflage irregularities of the bone/cartilage framework. It provides subtle volume augmentation when used and can also be combined with cartilage, in particular diced cartilage (diced cartilage-fascia), for even greater volume augmentation. Temporal fascia being your own tissue and also being thin, typically revascularizes well in the nose and should be very stable longterm.
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February 17, 2014
Answer: Temporalis fascia Hello,Great question. Temporalis is probably the best option for thickening your skin because it tends to have a very smooth and natural contour when the edema has resolved, and it's very safe. Implants and injectables are more likely to have infectious complications and even contour irregularities. Cartilage grafts are also effective but are better for structure and are more likely to be visible through thin skin. I think temporalis fascia is probably your best option. Good luck!
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February 17, 2014
Answer: Temporalis fascia Hello,Great question. Temporalis is probably the best option for thickening your skin because it tends to have a very smooth and natural contour when the edema has resolved, and it's very safe. Implants and injectables are more likely to have infectious complications and even contour irregularities. Cartilage grafts are also effective but are better for structure and are more likely to be visible through thin skin. I think temporalis fascia is probably your best option. Good luck!
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Answer: Nasal Tip Refinement In general, I have found that either temporalis or dermal grafts do very well here. During the course of a typical rhinoplasty, it is fairly simple to gather some soft tissue from the fascia along the sidewall and transplant this. If a large volume is required, I tend to prefer either temporalis fascia or a dermal graft such as Alloderm.The longevity in the tip area is quite good. Most experienced rhinoplasty surgeons will frequently lay a thin layer of fascia over this area to soften the tip structures and avoid any visible irregularities from cartilage grafts or suture refinement techniques.Best wishes, Todd Hobgood
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Answer: Nasal Tip Refinement In general, I have found that either temporalis or dermal grafts do very well here. During the course of a typical rhinoplasty, it is fairly simple to gather some soft tissue from the fascia along the sidewall and transplant this. If a large volume is required, I tend to prefer either temporalis fascia or a dermal graft such as Alloderm.The longevity in the tip area is quite good. Most experienced rhinoplasty surgeons will frequently lay a thin layer of fascia over this area to soften the tip structures and avoid any visible irregularities from cartilage grafts or suture refinement techniques.Best wishes, Todd Hobgood
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February 17, 2014
Answer: Temporarlis Fascia for Rhinoplasty #nosejob This is a great question. So temporalis fascia can be a very good graft to use in the nose for various reasons. To use it to thicken the skin, maybe. Better said it would add some volume to the area that may give you better soft tissue coverage between the cartilage and bone of the nose and the skin. It can partially resorb over time but usually it gets it's blood supply form the surrounding tissues and then it should be there forever. I would really have to see you and discuss this to be able to know more of what your goals are.
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February 17, 2014
Answer: Temporarlis Fascia for Rhinoplasty #nosejob This is a great question. So temporalis fascia can be a very good graft to use in the nose for various reasons. To use it to thicken the skin, maybe. Better said it would add some volume to the area that may give you better soft tissue coverage between the cartilage and bone of the nose and the skin. It can partially resorb over time but usually it gets it's blood supply form the surrounding tissues and then it should be there forever. I would really have to see you and discuss this to be able to know more of what your goals are.
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