Augmentation Rhinoplasty with Dermofat Graft & Fat Injection.

Na, Dae Seung; Jung, Seung Won; Kook, Kwang Sik; Lee, Yong Hae

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(1):53-62.
Published online January 1, 2011.

Augmentation Rhinoplasty with Dermofat Graft & Fat Injection.

Dae Seung Na, Seung Won Jung, Kwang Sik Kook, Yong Hae Lee

¹Department of Plastic and Reconstructive Surgery, College of Medicine, Konyang University, Daejeon, Korea. under wood21@hanmail.net
²Kook Kwang Sik Aesthetic Surgery Clinic, Seoul, Korea.

Abstract

PURPOSE
Even though Augmentation rhinoplasty is very popular surgical procedure, it is not easy to obtain ideal materials for augmentation. Many different synthetic materials are used but frequent complications are seen such as infection, extrusion, deform, and dislocation. Autologous tissues were used for augmentation rhinoplasty. We used dermofat graft and fat injection in augmentation rhinoplasty minimizing these problems. METHODS: From 2006 to 2009, we used autologous tissues in augmentation rhinoplasty in 40 patients, 20 patients with dermofat graft and other 20 patients were treated with fat injection only. Dermofats were harvested from sacral area. gluteal fold, groin and preexisting scar tissue. Dermofats were inserted with small stab wound and fat tissues were injected as Coleman's technique. The patients were followed up 6 months to 5 years.
RESULTS
Most of the patients were satisfied in shape and height the nose. Early complications such as hematoma, infection and seroma were not found. Secondary fat injection was performed in 3 patients (15%) of dermofat graft group instead of 7 patients (35%) of fat injection only group.
CONCLUSION
We obtained satisfactory results in augmentation rhinoplasty with dermofat graft and fat injection. Secondary fat injections were more often in fat injection group than dermofat graft group. Dermofat graft and fat injection could be another alternative technique for augmentation rhinoplasty and fat injection could be a secondary adjunctive treatment for undercorrection due to absorption.

Keywords: Dermofat graft; Fat injection; Augmentation rhinoplasty

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