What is the long term prognosis for using temporalis fascia over the tip to thicken thin skin?

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

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.