Abstract
Dorsal irregularities are one of the most common issues in modern rhinoplasty. Rhinoplasty
surgeons propose placing interface grafts lining the hole dorsum to ensure a natural
unoperated look. Diced cartilage embedded in Choukroun's platelet-rich fibrin (PRF)
scaffold being one of the most recent innovations in the field. However, no method
has been described to help with the creation of thin, malleable, and reproductive
graft with millimetric precision using that technique. The senior author details his
protocol and his experience with a newly developed template for the creation of reproductive
grafts with standard size and thickness, using diced cartilage, injectable PRF (iPRF),
and advanced PRF (aPRF), for full dorsal camouflage and lining in rhinoplasty. This
retrospective case series was conducted to evaluate the results looking at the dorsal
esthetic unit at a minimum of 6 months for patients who beneficiated from a millimetric
dorsal augmentation from 1 to 2mm using diced cartilage with iPRF and aPRF. The author
reports his experience with 54 cases operated from April 2018 to May 2022 using his
newly developed template.The template is an innovative technique to allow faster and
more reliable fabrication of soft grafts using diced cartilage with both iPRF and
aPRF. This novel approach allows for millimetric dorsal augmentation from 1 to 2mm
with great precision and high reproductivity with good esthetic outcome.
Keywords rhinoplasty - dorsum - PRF - template - reconstruction
