Modern methods of dorsal augmentation rhinoplasty

Dorsal augmentation rhinoplasty is a technically demanding procedure that requires careful selection of grafting materials and techniques to achieve durable and aesthetically pleasing results. This review summarizes contemporary approaches to dorsal augmentation rhinoplasty, emphasizing material selection, surgical indications, and evolving techniques.

Autologous grafts (septal, auricular, and costal cartilage) are widely used due to their lack of immunogenicity and relatively low rates of infection and extrusion. Diced cartilage techniques have gained recent popularity due to their flexibility and smooth dorsal contouring. Alloplastic and allogeneic materials can be carefully considered in specific patient populations who accept their associated risks. Injection filler rhinoplasty may be considered for patients seeking a lower-cost, temporary option for nasal augmentation with minimal downtime.

A comprehensive understanding of the spectrum of surgical techniques for dorsal augmentation rhinoplasty is essential for individualized surgical planning. Familiarity with the indications, strengths, and limitations of each approach will enable surgeons to optimize outcomes in dorsal augmentation rhinoplasty.