Homologous Tissue for Dorsal Augmentation

Facial Plast Surg Clin North Am. 2018 Aug;26(3):311-321. doi: 10.1016/j.fsc.2018.03.005. Epub 2018 Jun 7.

Abstract

Homologous graft materials for dorsal augmentation are safe and biocompatible with a low risk of complications. Acellular dermal matrix (ADM) provides natural appearance of the nose and long-term structural integrity without extrusion, showing favorable augmentation results. Tutoplast-processed fascia lata (TPFL) is soft and easy to manipulate, providing a smooth postoperative contour of the nasal dorsum with low risk of infection or extrusion. ADM and TPFL carry low risk of major complications, such as infection, foreign body reaction, and graft extrusion. ADM and TPFL are suitable graft materials that deliver proper dorsal augmentation and patient satisfaction in primary and revision rhinoplasty.

Keywords: Acellular dermal matrix; Asian rhinoplasty; Dorsal augmentation; Homologous grafts; Tutoplast-processed fascia lata.

Publication types

  • Review

MeSH terms

  • Acellular Dermis
  • Asian People
  • Fascia / transplantation
  • Humans
  • Nose / surgery*
  • Rhinoplasty / methods*
  • Transplantation, Homologous