Dorsal nasal fascia transplantation: a savior for prosthesis visualization and thin skin

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The core value of dorsal nasal fascia transplantation is to "put a coat on the prosthesis": lay a layer of autologous fascia (behind the ear or temporal region) between the prosthesis and the dorsal nasal skin to increase the thickness of soft tissue and avoid the contours of the prosthesis. visible or transparent. It is suitable for nasal prosthetics with thin skin, high tension, or prosthetic manifestation.The surgery is usually performed concurrently with the implantation of the prosthesisDr. Liu ChaofengWait for a doctor with rich experience in nose repair to operate.

1. Why are people with thin skin on the back of the nose prone to prostheses?

Prosthesis visualization (also known as "prosthetic contour" and "prosthetic light transmission") is a common problem after rhinoplasty, especially in the following groups:

Once the prosthesis appears, it will not improve on its own, but will only become more apparent over time. Early repair can be achieved through fascia transplantation and improvement can be achieved without removing the prosthesis.

2. How to do dorsal nasal fascia transplantation

2. 1Choice of fascia source

Autogenous fascia mainly comes from two parts, each with its own advantages and disadvantages:

• Postauricular fascia:The incision is concealed (folds behind the ear), the fascia strength is moderate, and the amount is limited, suitable for mild to moderate thickening needs. Removing the fascia does not affect the appearance of the ear.

• Temporal fascia (temporalis muscle fascia):The fascia is larger and stronger, making it suitable for repair cases with severe thin skin or requiring large amounts of padding. The incision is within the temporal hairline and is not visible.

2. 2surgical procedure

1. Fascia acquisition:Make a small incision behind the ear or temporal region to obtain a thin layer of fascia of appropriate size, and carefully suture the incision after hemostasis.

2. Prosthesis engraving and placement:Carve the prosthesis (silicone or expanded body) according to the preoperative design and place it in the dorsal nasal cavity.

3. Fascial covering fixation:Lay the fascia on the surface of the prosthesis and fix it with absorbable thread or tissue glue to ensure uniform coverage without curling.

4. Closure and bandage:The columella and nostril margin incisions are finely sutured, and the back of the nose is fixed with thermoplastic plates or splints.

Fascia grafting does not increase significantly the surgical time (usually increases by 30-60 minutes), but it has a significant effect on the final appearance and is a "small operation, large benefit" operation.

3. What problems can fascia transplantation solve

However, it should be noted that fascia grafting does not solve all prosthetic problems-if the prosthetic position is wrong (such as too deviated), the prosthetic position needs to be corrected first before considering fascia coverage. Please refer to for detailsGuide to Failed Rhinoplasty RepairUnderstand the comprehensive restoration plan.

4. Recovery period and precautions

• Recovery time:The sutures were removed 7 - 10 days after surgery, and the swelling of the back of the nose subsided significantly in about 1 - 2 weeks; the final effect stabilized in 3 - 6 months.

• Fascial donor site recovery:The posterior ear or temporal incision heals quickly, and the sutures are removed within 7-10 days, with extremely light scars.

• Avoid stress:Avoid rubbing the back of your nose vigorously within 1 months after surgery to prevent fascia migration.

• Avoid high temperatures:Avoid high temperature environments such as saunas and hot springs within 1 months after surgery to prevent vascular dilation from affecting the establishment of blood supply of the transplanted fascia.

5. dorsal nasal fascia transplantation FAQ

Q: Is the dorsal nasal fascia transplant permanent?
A: Yes, once the autologous fascia is successfully established, it will survive permanently and will not be replaced by absorption. It gradually integrates with the skin of the dorsal nose and becomes part of its own tissue.

Q: Will removal of fascia leave obvious scars?
A: The retroauricular fascia incision is within the retroauricular fold and is almost invisible after healing; the temporal fascia incision is within the hairline and is also concealed. The risk of scarring is extremely low.

Q: Do I need to pay extra for fascia transplantation?
A: Yes, fascia transplantation is an additional procedure and is usually billed separately. The additional charge for retroauricular fascia transplantation in Shanghai is about 3000-6000 yuan, and the additional charge for temporal fascia transplantation is about 5000-10000 yuan, subject to the facial diagnosis plan.

Q: Do people with thin skin have to add muscle membrane to undergo nasal plastic surgery?
A: Not necessarily, but strongly recommended. If beauty seekers with thin skin only use prostheses, the probability of the prostheses becoming visible is high. Whether to add fascia can be decided according to the actual thickness of the skin during surgery. Dr. Liu Chaofeng usually informs this option in advance.

Q: Can the prosthesis be replaced after fascia transplantation?
A: Yes, the fascia covers the surface of the prosthesis. When replacing the prosthesis, the fascia can usually be retained and reused (if the blood supply is well established) without having to obtain it again.

Related nose topics

• Full strategy for nasal plastic surgery

• Guide to Failed Rhinoplasty Repair

• capsular contracture

• Narrowing of the nose

• lip repair

this article byDr. Liu ChaofengThe medical beauty strategy section is compiled and released, and the copyright belongs to Dr. Liu Chaofeng. The source of the reprint must be indicated.

Medical disclaimer: This article is about nasal science and does not constitute diagnosis and treatment recommendations, nor does it guarantee any surgical effect. The dorsal nasal fascia transplantation plan needs to be determined after a face-to-face consultation by Dr. Liu Chaofeng and other professional physicians, combined with a comprehensive evaluation of the individual's nasal conditions and health status. There are individual risks and differences in medical beauty, so please make rational decisions.