What kind of grafts did this doctor use to remove the alar crease, pinched tip and to derotate and elongate nose? (Photo)

Question

I would like a similar result

Adam Bryce Weinfeld, MD · Answer

Based on the photographs and my knowledge of Dr. T's approach, I would suspect that the rib cartilage graft was the tissue used.

Toby Mayer, MD · Answer

Nasal reconstruction with grafts for pinched tip and short nose are usually from the ear and have both skin and cartilage. This  consists  of alar and septal extension grafts etc. See an experienced revision rhinoplasty surgeon.

Garrett H. Bennett, MD · Answer

Dean Toriumi uses the patient's own rib cartilage to augment the nose. He does get a great result. He used a dorsal graft, spreader grafts, and battens at least. He does not use synthetic grafts.

Michel Siegel, MD - Account Suspended · Answer

Although it is exactly hard to tell with certainty, as there are many ways to solve a collapsed tip, and the particular choice will be based on the surgeon's expertise, it appears that lateral crural strut grafts were used for the creases, and a caudal septal extension graft for elongation. The required strength for these would come from either septum, if available, and if not rib cartilage. Ear cartilage would not have the required strength, and or shape.

Robert E. Zaworski, MD (retired) · Answer

In the vast majority of cases, we try to use the patients own tissue for reconstruction.  Most likely, ear cartilage was used to correct the pinched tip, and cartilage from the septum for the bridge.  Consult with a Board Certified Plastic Surgeon for an in person exam to discuss your concerns.  Best wishes!

What kind of grafts did this doctor use to remove the alar crease, pinched tip and to derotate and elongate nose? (Photo)

Answers (5)

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