What are dermis grafts and how long do they last?

We prefer using Silikon-1000, an off-label filler for permanent results, when dealing with certain nasal indentations. Procedures are performed in the office, with topical anesthetic, and no downtime.Wishing you well.Dr. Joseph

I guess you talk about your own dermal graft, harvested from any previous scar or hidden and concealed areas of your anatomy. Dermis graft are ideal, for example, in lip augmentation, but not so much in rhinoplasty, it is much advisable to opt for cartilage grafts or temporalis fascia graft, which are the standard in revision surgeries requiring smoothening of the dorsum. Seek a second opinion from a revision rhinoplasty expert surgeon.I advise against alogenous (not yours) dermal grafts in rhinoplasty.

Dermis grafts are typically cadaveric skin in which the outer layer has been removed in processing and is available in different sizes and thicknesses. The original dermis graft was Alloderm but many such products exists today. When placed they theoretically allow your own tissue to grow into them and replace them over time. While your own dermis grafts can be harvested and used, the thin layers that are needed in the nose is more conveniently done by an off-the-shelf graft product.

Dear
Lycee123,

Soft
tissue and bony depressions of the nose may be corrected with surgical
insertion of grafts, such as a dermal graft, which is a piece of skin with the
superficial parts removed and the undercarpet component, or dermis, inserted
into the defect, whereupon it picks up a blood supply and can usually provide a
nice long-term improvement. Other
options for correcting the depression include cartilage grafts and soft tissue fillers. The advantage of the soft tissue fillers is
that there is no additional donor site defect, pain or discomfort. Some soft tissue fillers can provide a
permanent correction of the nasal depression.

I
have been performing cosmetic rhinoplasties for over 20 years, having trained
in plastic surgery and ear/nose/throat-head/neck oncology. It is one of the important areas of my
aesthetic practice. I have also been
performing soft tissue injections in the nose for a decade and this can be a
good long-term, if not permanent, solution to a nasal depression.

For
more information, please review the link below.

I
hope this information has been of some assistance and best of luck.

Sincerely,

R.
Stephen Mulholland, M.D.

Certified
Plastic Surgeon

Yorkville,
Toronto