Diced Cartilage in Fascia

Dicec cartilage in fascia (DCF) is one of graft material used for dorsal augmentation. Cartilage diced into fine pieces is wrapped in temporalis fascia as a sausage shape and grafted on the dorsum for general dorsal augmentation or filling of defect area.

Mostly, cartilage is grafted as a whole piece for the dorsum. However, when cartilage are curly or available in separate pieces like in conchal cartilage harvesting or when rib cartilage warping cannot be controlled, DCF is an alternative.

It has merits such as avoiding rib cartilage warping, smooth dorsal margins in thin skinned patient, a little maleability in early postoperative period, and adaptible fitting of irregular dorsum. However, additional harvesting of temporalis fascia is necessary and possible junctional step offs at radix or supratip is possible if not careful.

Comments

Deviated & hump nose correction

This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.

Starting google blog "Rhinoplasty Korea"

This blog aims to share my experience in rhinoplasty with friends of the world who are interested in nose job. My over 20 years of experience in the filed of rhinoplasty, revision rhinoplasty, nasal reconstruction, and difficult septal surgery will be reflected with helpful tips for the people who need help. Hope many people can enjoy my blog. Thanks. Director Dr. Jin's Premium Nose Clinic, Seoul, Korea www.doctorjinent.modoo.at

Creating more feminine nose

The lady in below photos visited my clinic for rhinoplasty. She wanted to have more feminine nose instead of her muscline nose. She had a long nose with slight bump on the dorsum, overprojected, slightly bulbous and droopy tip, and slighly wide dorsum. Surgery was focused on creating more feminine look: hump removal, narrowing the bony dorsum with osteotomies, tip volume reduction, decreasing tip projection, and slight cephalic rotation. Photos taken 2 weeks after surgery (because she returnd back to her country after surgery) shows changes on the dorsum and the tip. Dorsum became slender with creation of smooth brow-tip aesthetic line. Tip was refined with volume reduction, slight underprojection, and cephalic rotation. Although the changes are not radical, her nose looks more feminine.

Rhinoplasty Korea

Search This Blog