Facial plast Surg 2012; 28(04): 417-426
DOI: 10.1055/s-0032-1319840
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Rhinoplasty: Management of the Overresected Dorsum

Rollin K. Daniel1, Ali Sajadian1
  • 1Private Practice, Newport Beach, California
Further Information

Publication History

Publication Date:
07 August 2012 (online)

Abstract

Any discussion of grafting the dorsum in secondary rhinoplasty must take into account the different indications (aesthetic, augmentation, and structure) as well as recent changes in materials and techniques (fascia, diced cartilage). We have placed solid dorsal grafts with diced cartilage grafts either as an isolated diced cartilage graft in fascia graft or as the aesthetic dorsal contour layer of a composite reconstruction. The rational for this profound change in selection and indication of dorsal grafts for revising the overresected dorsum will become clear as the various alternative materials and techniques are analyzed. Currently, we only employ autogenous tissues.