Q: Dr. Eppley, Could you tell me when diced cartilage injections are recommended in rhinoplasty? Five years ago I received a septal cartilage graft on my nasal dorsum but there remains a little gap on the side of the dorsum between the eyes. Could a diced cartilage injection resolves my problem? Does it need a lot of spetal cartilage which was used initially for my dorsal cartilage graft?
A: Small cartilage deficient areas of the nose are fairly ideal for an injectable diced cartilage rhinoplasty. What you are ‘missing’ is that the dorsal augmentation has created a relative deficiency along your nasal sidewalls. That could be filled in with diced cartilage injected from an intranasal approach. A small septal or ear cartilage should suffice as the cartilage donor source.
Dr. Barry Eppley