Journal
FACIAL PLASTIC SURGERY
Volume 33, Issue 2, Pages 225-232Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0037-1598184
Keywords
rhinoplasty; platelet-rich plasma; cartilage scales; cartilage pate; fibrin gel
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Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, the use of diced cartilage grafts has become the workhorse in this field of interest. To overcome drawbacks of methods based on diced cartilage, we present a new concept for autologous augmentation, using regenerative medicine protocols. A mix of cartilage scales with cartilage pate was embedded in platelet-rich fibrin (PRF). Since December 2015, a total of 48 patients were treated with this technique. Based on our preliminary results, cartilage scales in PRF appear to be a promising and reliable alternative to existing procedures for dorsal nasal augmentation.
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