Facial plast Surg 2017; 33(02): 225-232
DOI: 10.1055/s-0037-1598184
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Cartilage Scales Embedded in Fibrin Gel

Milos Kovacevic1, Frank Riedel2, 3, Jochen Wurm4, Gregor M. Bran2, 3
  • 1Praxis am Hanse-Viertel, Hamburg, Germany
  • 2HNO-Zentrum Rhein-Neckar, Mannheim, Germany
  • 3Department for Otorhinolaryngology, Head and Neck Surgery, Universitatsklinikum Mannheim II Medizinische Universitatsklinik, Mannheim, Baden-Württemberg, Germany
  • 4Department of Otorhinolaryngology, Head and Neck Surgery, Universitatsklinikum Erlangen, Erlangen, Bayern, Germany
Further Information

Publication History

Publication Date:
07 April 2017 (online)


Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, the use of diced cartilage grafts has become the workhorse in this field of interest. To overcome drawbacks of methods based on diced cartilage, we present a new concept for autologous augmentation, using regenerative medicine protocols. A mix of cartilage scales with cartilage pâté was embedded in platelet-rich fibrin (PRF). Since December 2015, a total of 48 patients were treated with this technique. Based on our preliminary results, cartilage scales in PRF appear to be a promising and reliable alternative to existing procedures for dorsal nasal augmentation.