Autologous(One’s Own)Tissue Revision Rhinoplasty

View the research papers from The Plus Plastic Surgery medical team.

About Autologous Tissue Surgery

At The Plus Plastic Surgery, we highly prioritize the well-being of your tissues. Asian nose surgery often involves utilizing various tissues. While primary nose surgery commonly employs implants like silicone, it’s also typical to harvest tissues such as auricular cartilage and septal cartilage. In nose revision surgery, additional tissues like cartilage, dermis, or fascia may be required, potentially causing discomfort due to resulting wounds and tissue defects. When collecting auricular cartilage, we consider factors such as your preferred sleeping side to minimize any discomfort. Our goal is to minimize damage and foster the recovery of the tissue collection area. We re-transplant any remaining cartilage, incorporate additional materials that aid tissue regeneration to reduce pain, and prevent deformation. Various techniques are also employed to restore any deformed areas from previous surgeries. Thoughtful consideration and tailored treatment plans for the tissues to be removed are crucial, not only in nose surgery. If you experience any discomfort, please don’t hesitate to discuss it with us at any time.

Autologous Costal Cartilage (Chest Cartilage)

When there is severe contraction due to repeated inflammation or surgery, chest cartilage is used when strong support and a large amount of cartilage is needed.

Harvesting site: 7th rib cartilage
Advantages: Provides a sufficient amount and sturdy support.
Disadvantages: The operation time is long, and there may be calcification in the chest cartilage.

Dermal Fat

Dermal fat grafting is often used in revision surgery. As an autologous tissue, it is particularly effective when there is a problem with the skin on the bridge of the nose. It is used to supplement the skin or soft tissue of the bridge of the nose, increase volume, and correct partial collapse. Dermal fat is easy to harvest and the scars at the harvesting site are not a big problem. It also has some resistance to infection and inflammation.

Harvesting site: Buttocks, groin, etc.
Advantages: Scars can be hidden as it is not a visible area, and it has some resistance to infection and inflammation.
Disadvantages: High absorption rate, wound healing problems, persistent seroma, hematoma, and in severe cases, fistulas can occur.

Scalp Fascia

Scalp fascia is a thin membrane that wraps around the muscles of the scalp. It is used to prevent the visibility of implants in patients with thin skin, and is mainly used to elevate the forehead area.

Harvesting site: Scalp
Advantages: The surgery is simple, the harvesting site is close to the surgical site, and the scar is not easily visible because it is hidden by hair.
Disadvantages: Temporary hair loss may occur at the scar site.