Q: 1. What are the risks of using your own diced rib cartilage wrapped around your own fascia? 2. How do you make decisions to use either diced or whole rib cartilage for the bridge augmentation? 3. Heard rib cartilage could warp over time when used for the bridge. What is/are alternative(s) other than using foreign materials? 4. Have Gore-tex for my nose. It fell on the right side of my face and made my nostrils look uneven. Is this an emergency? Would this change my bone/skin structure?
A: The diced cartilage fascia technique does require special expertise and a great deal of experienced to create consistent, predictable results. The most commonly encountered issue is contour irregularities and asymmetries – as with any technique for dorsal augmentation. In skilled hands, the diced cartilage fascia technique provides permanent, natural and attractive results, but in inexperienced hands can be unpredictable and inconsistent.
Diced cartilage fascia provides permanent results without the risk of warping or resorption of en bloc rib cartilage, and with a much lower rate of migration, infection, or extrusion than synthetic grafts.
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