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Augmentation rhinoplasty using a folded "pure" dermal graft
Heung-Kyu Kim1, Seung Chul Rhee
1From the *Elle Plastic Surgery Clinic, and †Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University, Seoul, Republic of Korea.
The Journal of Craniofacial Surgery
|September 17, 2013
Summary
Pure dermal grafts offer a viable alternative for rhinoplasty, maintaining nasal height despite some thickness reduction. This technique provides aesthetically pleasing results with minimal complications for patients seeking natural nose augmentation.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Limited reports exist on augmentation rhinoplasty using "pure" dermal grafts.
- This study details refined techniques and clinical experience with folded pure dermal grafts.
Purpose of the Study:
- To evaluate the efficacy and aesthetic outcomes of augmentation rhinoplasty using folded pure dermal grafts.
- To assess the absorption rate and long-term stability of these grafts.
Main Methods:
- 68 patients underwent augmentation rhinoplasty using folded pure dermal grafts harvested from the buttock.
- Grafts were folded, sculpted, and placed in a supraperiosteal pocket; tip-plasty used cartilage grafts.
- Ultrasonography monitored graft absorption rates.
Main Results:
- Dermal grafts reduced to 60.3% of initial thickness by 12 months, maintaining nasal dorsum height.
- Most patients (83%) achieved consistent cosmetic results; 17% experienced minor absorption issues or contour irregularities.
- No serious complications like infection, extrusion, or rejection occurred.
Conclusions:
- Folded pure dermal grafts are a useful option for augmentation rhinoplasty.
- This technique benefits patients avoiding artificial implants or seeking revision of previous implant surgeries.
- It offers a natural aesthetic outcome, particularly for cases with thin skin from prior implant use.
