What is the long term prognosis for using temporalis fascia over the tip to thicken thin skin?
Doctor Answers 7
Nasal Tip Refinement
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.
Temporarlis Fascia for Rhinoplasty #nosejob
Long Term Prognosis of Temporalis Fascia
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Several options to cover cartilage framework under the skin during rhinoplasty
Fascia, dermal matrix, and fat grafting are all viable options to add some distance between the cartilage and the surface of the skin. The decision depends on the specifics of your nose. Fat grafting can be a low down time, softer alternative but of course this depends on each patient and each plastic surgeon.
All the best,
Dr. Remus Repta
Temporal fascia in rhinoplasty
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.
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