When reading rhinoplasty articles mentioning fascia, it is important to distinguish between fascia described as a material from a previous surgery and tissue utilized during the current procedure. Our surgical records include past histories where temporalis fascia was used alongside diced autologous rib cartilage, as well as cases where ear cartilage was grafted together with fascia. Simply seeing fascia on a list of materials does not explain how the current surgery was performed.
In one revision rhinoplasty case, temporalis fascia grafted 10 years earlier was found positioned obliquely and was repurposed to reinforce the skin of the nasal tip. As demonstrated here, the original location and the reused purpose of the same fascia can differ. It is helpful to note whether new fascia was harvested, whether existing tissue was reused, and whether it was used to supplement skin or cartilage framework.
View before-and-after cases ↓Comprehensive rhinoplasty guide
Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.
Previous surgeries and procedures
For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.
Performed or used in this surgery
A case where a septal defect and filler-induced deformity were identified after five prior surgeries. Following filler removal, the septum was reconstructed with autologous rib cartilage, and the nasal tip was reinforced using existing deep temporal fascia.
Previous surgeries and procedures · Performed or used in this surgery
A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.
Performed or used in this surgery
Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.
Performed or used in this surgery
This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.
Previous surgeries and procedures
A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.
Previous surgeries and procedures
Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.
Previous surgeries and procedures
A crooked nose with a drooping, bulbous tip and a high radix following multiple surgeries was corrected using autologous rib cartilage septal reconstruction and extension, radix lowering, and rhinitis surgery.
Previous surgeries and procedures
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There is a case where temporalis fascia used in a surgery 10 years prior was identified and repurposed to reinforce the nasal tip skin. The case notes also describe how the existing tissue had originally been placed obliquely. Harvesting new fascia and reusing existing fascia are different surgical steps, so the revision records clarify where the tissue was obtained and where it was placed.
The use of an implant cannot be determined solely by the mention of fascia. Our surgical records include cases where a silicone implant on the nasal bridge was combined with ear cartilage and fascia at the nasal tip. In addition to examining the role of fascia, checking the other materials placed in the bridge and tip is necessary to understand the overall configuration of each case.
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