Instead of wrapping diced cartilage in temporalis fascia, I devised a template that can mold a silicone implant shaped cartilage graft. This graft is made from diced cartilage pieces that are bio-glued together into a template. This is a good substitute of diced cartilage in fascia and is effective when applied properly. It saves time for the surgeon and patient can avoid separate incision on the scalp.
In the patient above, Gore-Tex implant was removed and dorsum was replaced with diced cartilage in glue made from conchal cartilage. You can see more natural looking dorsum after revision.
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