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Cartilage Allografts for Aesthetic Nose Surgery: A Viable Option

Vargas, German, MD; Biguria, Rafael, MD

Plastic and Reconstructive Surgery – Global Open: September 6, 2018 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001859
Latest Articles: PDF Only

Background: Illusions in rhinoplasty are a powerful tool yet often overlooked. There are numerous examples of how a specific change in 1 part of the nose will influence the balance of the nose on the entire face. Although cartilage autograft remains the gold standard in structural reconstruction of the nose, for selected cases, allografts can be favored.

Methods: A retrospective cohort study was performed on all patients who underwent cartilage allograft for aesthetic nose surgery from January 2012 to June 2017. All patients were informed of the therapeutic and experimental nature of the localized cartilage allograft use and then consented to the procedure orally and in writing. From January 2012 to June 2017, a total of 105 patients were operated on using cartilage allografts.

Results: Of these 105 patients, follow-up to a year was achieved in 97.

Conclusion: The use of cartilage allograft in our practice has been a useful proven tool that can help manage a patient aesthetic outcome. This gives us the opportunity for cartilage banking and thus, using it, fewer incisions and scars on our patients.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Published online 6 September 2018.

Received for publication March 19, 2018; accepted May 14, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

The use of cartilage for aesthetic nose surgery has been long recognized. However, there are times when nose cartilage is insufficient and we are left with the option of grafting cartilage from other places such as conchal and costochondral cartilage. This can leave the patient with other morbidities and scars. We present this new method for using cartilage allograft to avoid these other cartilage grafting methods and still obtain an adequate and lasting aesthetic nose outcome.

German Vargas, MD, 3a calle A 8–38 zona 10, Edificio Renova, Guatemala, Guatemala, E-mail: gvargas@renova.com.gt

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.