Implants in Asian Rhinoplasty
Though popular in Asian countries, synthetic implants are not always the most suitable option for raising the height of a patient’s nasal bridge during an Asian rhinoplasty. This surgical technique may attract patients who seek a less-costly option as well as less time spent in surgery; however, there are drawbacks to this form of augmentation. There can be a shift in placement even after the material has been secured inside the nose, and the body may reject the substance of which the constituent elements are composed. A preferred method of augmentation involves the patient-derived implant of diced cartilage wrapped in fascia. In Asian patients, this can be used to add height to the bridge of the nose.
Undergoing a DCF
The fascia is typically removed from the muscle that spans from the temple to the ear, which is why the harvesting procedure may be referred to as a temporal fascia rhinoplasty or temporalis fascia graft rhinoplasty. Facial plastic surgeons understand that this is only one aspect of the overall procedure that is performed to transform the nose of Asian patients.
The cartilage used during the procedure may be removed from the patient’s own rib, ear, or nose and is prepared to be rolled into the fascia. As Dr. Nassif of Beverly Hills, California, describes in the video seen here, it is much like a “small burrito”. Dr. Nassif uses a sterile straight edge razor blade to dice the cartilage into very small pieces. It is then wrapped in the fascia to prevent and sharp edges from causing discomfort or intrusion into other areas of the nose. To perform this part of the procedure, Dr. Nassif wraps the fascia around the tip of a syringe that has been pre-filled with the diced cartilage. The syringe with the fascia covering the tip is then set into place, and the tip of the syringe is depressed to fill this pocket in the dorsum with the created filler material.
Benefits of DCF Surgery
There are many benefits to augmenting the nasal bridge using the DCF (diced cartilage wrapped in fascia) procedure. The patient’s own biological materials are utilized so the risk of rejection and infection are almost negligible. Some patients have bad reactions to synthetic implant materials, but the patient’s own body has already hosted almost all of the materials involved in the surgery (save for the sutures), so the components of the implant are not foreign.
With nasal movements, an implant can be obvious; the patient may move the nose one way, while the implant can shift in a different direction. A bulky implant can eventually lead to the thinning of nasal tissues, though this is not a problem when Dr. Nassif performs an Asian rhinoplasty with the DCF method. The latter method appears more natural, and can be molded into the desired shape a week postoperatively. This way, a patient can seek even more improvement to his or her nose following the surgery. There is a low rate for the DCF implant tissues to be resorbed.
Dr. Nassif – the “Asian Rhinoplasty Specialist” – is highly regarded in the medical community as an innovative doctor who strives to deliver excellence to each one of his patients. Using the DCF technique, Dr. Nassif is able to reconstruct the nose to individualize the feature to each patient’s face. Do not hesitate to call the doctor’s Beverly Hills, CA office today at (310) 275-2467.