Graft contouring after cartilage graft?

Question

Hi, I have a diced cartilage graft on my dorsum. It ended up being too big; there is a bit of a hump on top, and it made my nose broader. It also made the tip very big, though the doc says some of that is scar tissue. He suggested a revision to "contour" the graft and remove some of the scar tissue from the tip. Does that sound reasonable? Will that work to improve the "fit" and look of the graft? Does removing scar tissue from the tip help give it definition?

Eric M. Joseph, MD · Answer

Sometimes diced cartilage is wrapped in fascia and placed on the bridge of the nose for augmentation. If this ends up being too large, or unsightly, the feasibility of modifying this is unclear, since we do not utilize this Technique with rhinoplasty surgery. Please consider me asking your question with photographs. Thanks a lot. Sincerely, Dr Joseph

Hong Ryul Jin, MD · Answer

I do not think your tip is bulbous due to diced cartialge. Diced cartilage is probably on the bridge. To find out why the tip is bulbous would provide the answer to improve the tip shape. If it is due to scar tissue, removing scar tissue would help. If the tip cartilage is big, reducing the tip cartilage would help. If your skin is thick, then the effect of surgery would be limited.

Graft contouring after cartilage graft?

Answers (2)

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