Abstract
Introduction The primary aim of this paper is to describe an original technique for dorsal augmentation
in rhinoplasty. The use of a carved block of costal cartilage or layers of septal
cartilage is a well-known technique for dorsal augmentation. However, this is accompanied
by the risks of cartilage warping and a hard, unnatural feel to the dorsum. On the
other hand, the use of diced cartilage wrapped in the fascia, which has been another
popular technique in the last decade, often does not give the structural stability
of a solid cartilage. “Fascialage,” as innovated by the authors, is a combined construct
that incorporates all the advantages of these techniques eliminates the disadvantages
of the previous techniques.
Materials and Methods Our technique involves the creation of a construct with three components and three
parts. Radix augmentation is done with the cranial part, which consists of mostly
rolled-up fascia; augmentation of the mid-dorsum is done with the central part, which
has a solid cartilage platform, an overlay of diced cartilage with both being wrapped
in the fascia, while the lower dorsum and supra-tip area also have all the same three
components but with less diced cartilage. We can plan and alter the composition and
dimensions as required for the individual case.
Results As a result of this, we believe that “fascialage” has the advantages of the other
two techniques and consistent long-term results.
Conclusion This technique was used in 55 rhinoplasties needing considerable dorsal augmentation
in which a postoperative follow-up of 2 to 5 years revealed that this technique yields
reliable and sustainable results.
Keywords
augmentation rhinoplasty - fascialage - aesthetic rhinoplasty - rib graft for rhinoplasty
- natural augmentation
