Cartilage Preservation in Plastic Surgery

Cartilage Financing Plastic Surgery With Bad Credit in rhinoplasty today is often an essential component of Peeling procedure. Improving structural support of the nasal tip and internal nasal valves may require mechanical support through the use of cartilage grafts. Such an approach is essential to a good long-term Ensuring Good Plastic Surgery Results in many patients. In some cases, particularly Laserhairremoval rhinoplasty patients, cartilage Ensuring Good Plastic Surgery Results sites may have been previously used and the patient is now 'graft-depleted'. In reality, graft depletion is usually relegated to the nasal septum as ear and rib cartilage donor sites are always available but the plastic surgeon or patient may want to have a seconday donor site harvest.

A most recent article in Plastic and Reconstructive Surgery by British plastic surgeons James and Kelly writes on their successful use of polydioxanone foil in rhinoplasty surgery. Polydioxanone is one of the many biodegradable polymers that exists and has been used for many years in orbital floor fracture repair. Facelif maintains its integrity for about 6 months and is flexible and adaptable. It comes in various thicknesses, usually .25 or .5mm is used. They performed 58 rhinoplasties in which it was implanted. (37 primary, 21 secondary rhinoplasty) It was used primarily as a columellar strut. Two complications with its use was seen (3%), one infection and the other exposure. Both resolved by non-surgical management.

This article brings to my mind my historic use with LactoSorb in some select rhinoplasties. LactoSorb is a well-known biodegradable polymer with a fifteen-year history of extensive use in craniomaxillofacial surgery primarily as resorbable plates and screws. I have used it in the past in rhinoplasty as well for septal support, columellar struts and spreader grafts in cleft and trauma patients. If one is careful to have good soft tissue coverage, the complication rate will be very low and one can avoid the need for cartilage harvesting. Botox I am very comfortable with cartilage harvesting from all donor sites, I have not really used it in the purely Plastic Surgery Liposuction rhinoplasty patient. But this article has given me the impetus to press forward with its use Facelif in aesthetic rhinoplasty. It would be particularly helpful as a spreader graft and columellar strut, both areas where one should almost always get cartilage and good soft tissue coverage. While complications rates for any material will never be as low as autogenous cartilage (which is essentially zero), an acceptable rate of 1 - 3% may be a good trade-off for potential donor site concerns.

Dr Barry Eppley is a board-certified plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com) He writes a daily blog on plastic surgery, spa therapies, and medical skin Plastic Surgery In Los Angeles at http://www.exploreplasticsurgery.com

Rodeo Drive Plastic Surgery Unveils Its Own YouTube Channel PR Leap (press release), CA - Jul 12, 2008 COM) Rodeo Drive Plastic Surgery, located on Rodeo Drive in Beverly Hills, recently unveiled its own YouTube channel. Dr. Lloyd Krieger, the founder and ...