A primary rhinoplasty is performed in this video where a died cartilage and fascia graft are used to fill in the bridge to make a smoother, straighter bridge. The patient had breathing difficulties due to a septal deviation and internal valve collapse. She wanted a smaller nose, but not a terribly different nose. Therefore, the deep temporalis fascia graft was used to help define the dorsal aesthetic lines.
Diced Cartilage and Fascia Graft
Diced cartilage and fascia have been used to help define the dorsal aesthetic lines and fill in the radix. This allows the nose to look un-operated and natural. The patient does have to be prepared to have an incision on the side of the head about 2 cm in length just above the ear. There is no need to shave the hair to take the graft. The scar is minimal as it is within the hair of the scalp. The fascia that is harvested in soft and pliable and along with the diced cartilage, a very nice structural graft can be created.
Septoplasty and Straightening the Crooked nose
Primary rhinoplasty can include the diced cartilage and fascia graft to straighten the crooked nose. Spreader grafts, a septal reset, and asymmetric osteotomies can straighten the bridge and can get the finishing touches with the diced cartilage and fascia graft. Noses can be crooked most commonly from trauma, congenital reasons, or previous rhinoplasty. Whatever the reason, straightening the crooked nose with a diced cartilage and fascia graft usually needs to be part of a comprehensive plan to improve the nasal aesthetics.
Dr. Jay Calvert is a board certified plastic surgeon who performs primary rhinoplasty in both of his offices in Southern California. His plastic surgery practice is located in both Newport Beach and Beverly Hills. Please call the practice with any questions at +1.310.777.8800