Diced Cartilage Glue Graft for Nasal Augmentation

The Problem

• Irregular and overresected dorsum

• Tip bulbosity

The Background

Excessive hump resections may cause a concave dorsal profile with or without palpable and visible irregularities. Correction of this iatrogenic deformity is challenging, as many patients are critical due to being disappointed with the previous procedure, the dorsal soft tissues are scarred, and a natural-appearing volume augmentation is needed. Augmentation with alloplastic materials is considered risky, especially in thin-skinned patients. Solid rib grafts tend to warp over time and are difficult to shape. The diced cartilage glue graft has been used for dorsal augmentation in primary and revision cases. The graft has proved to maintain its volume over time. It is versatile and can readily be customized for segmental dorsal augmentation. A major advantage compared to other augmentation techniques with autologous tissues is the ease with which an anatomical shape with tapered sides and ends can be fashioned.

The Indications

The diced cartilage glue graft is indicated for augmenting the whole nasal dorsum or segments of the dorsum.