Journal of Plastic, Reconstructive & Aesthetic Surgery
Fascia lata graft for nasal dorsal contouring in rhinoplasty
Section snippets
Patients and methods
In this study, we consider 63 patients who underwent rhinoplasty between May 2004 and December 2005, of which 26 were male and 37 were female patients, and their ages ranged from 18 to 43 years (mean age: 28.7). An informed consent was obtained from all patients in case of possible use of FL graft during surgery. The FL graft (average size: 2 × 3 cm) was uniformly harvested from the right lateral thigh by performing a 1.5 cm incision, located 15–20 cm proximal to the insertion of tensor FL muscle at
Results
Of the 63 patients, 49 underwent primary rhinoplasty, while 14 were secondary cases. Out of the 49 primary patients, 27 presented with a nasal deformity due to a trauma encountered previously.
Patient selection was based on the fact that all had a characteristic thin parchment nasal skin. FL graft was used to camouflage the possible dorsal irregularities in late postoperative period. All patients had satisfactory aesthetic results, and no apparent irregularities were observed over the nasal
Discussion
The use of FL in eye lid ptosis surgery is well known in the literature; moreover, it is widely applied in ligament reconstruction in orthopaedics surgery.7 Autografts and allografts have been widely used to improve the contour of the nose, including the dorsum,9, 10, 11, 12, 13, 14, 15, 16, 17 lateral walls15, 18 and nasal tip.19, 20, 21, 22 Cartilage grafting has been demonstrated to be effective in improving both the functional and the cosmetic aspects of the nasal framework. In addition,
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