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Facial Plast Surg 2015; 31(02): 164-171
DOI: 10.1055/s-0035-1549038
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diced and Crushed Cartilage Plus Autologous Fibrin Matrix Obtained by a Simple Process for Dorsal Augmentation of the Mestizo Nose

Yanko Castro-Govea
1   Department of Plastic Surgery, School of Medicine and University Hospital “Dr. José Eleuterio González,” Monterrey, Nuevo León, México
,
Sergio Ayuzo del Valle
1   Department of Plastic Surgery, School of Medicine and University Hospital “Dr. José Eleuterio González,” Monterrey, Nuevo León, México
,
Victor Cervantes Kardasch
1   Department of Plastic Surgery, School of Medicine and University Hospital “Dr. José Eleuterio González,” Monterrey, Nuevo León, México
,
Erick Phillips Eparza
1   Department of Plastic Surgery, School of Medicine and University Hospital “Dr. José Eleuterio González,” Monterrey, Nuevo León, México
,
Osvaldo Vazquez Costilla
1   Department of Plastic Surgery, School of Medicine and University Hospital “Dr. José Eleuterio González,” Monterrey, Nuevo León, México
› Author Affiliations
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Publication History

Publication Date:
08 May 2015 (online)

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Abstract

Several alternatives can be used for nasal dorsum augmentation. We report the use of crushed diced cartilage embedded in an autologous fibrin matrix. This construct is placed on the nasal dorsum and is gently molded according to the characteristics of each patient. Rhinoplasty and nasal dorsum augmentation were performed in 45 patients with Mestizo characteristics after a complete medical history and development of a surgical plan. A crushed diced cartilage autologous graft and an autologous fibrin matrix from peripheral blood processed using the Choukroun method was used. Pre- and postoperative photographs were taken at short- and long-term follow-up. Two separate variables were evaluated: reabsorption and irregularities. Three plastic surgeons evaluated the results, using a Likert scale: the first variable was considered very excellent in 88.9%, very good in 6.7%, good in 4.4% with no poor or very poor results. In the second variable, results were excellent in 88.9%, very good in 4.4%, good in 3.4%, and poor in 3.3% with no very poor results. Our patients carry a volume with an aesthetically pleasing contour and form with no changes over a mean follow-up period of 4 years. Long-term effectiveness continues to be the main topic of discussion; however, this method can be considered an alternative not only to augment but also to smoothen irregularities of the nasal dorsum. We used a simple method with good and stable long-term clinical results.

Keywords

Mestizo nose - dorsal nasal augmentation - nasal dorsum smoothing - platelet growth factors - autologous fibrin matrix
 

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