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Nose Job
Nose job become center of face. at AONE PLASTIC SURGERY

Dorsum augmentation

Aone doesn’t use silicon or goretex, we only use autologous.
Most widely commonly used implant for rhinoplasty is silicon and goretex.
Aone only use autologous without using silicon. Nasal septal cartilage is used for nasal tip.
Diced cartilage is wrapped in fascia for dorsum augmentation.
Rib cartilage is often used for low nasal dorsum and severely short nose
Dorsum augmentation
Dorsum augmentation is a lot simpler than nasal tip operation. There are many things need to be
considered for tip operation but only few things should be checked with dorsum augmentation
01.Nasal projection on profile view : It should be balanced with rest of the face.
02.Width : It should have proper size when it is seen at front
03.Deviation : It shouldn’t be deviated.
04.Height of forehead : Forehead looks lower with dorsum augmentation. Fat grafting is necessary to increase volume for forehead.
Material for dorsum augmentation
Implants or autologous tissue is used for dorsum augmentation.
01.Implants
- Silicon - Goretex - Medpore - Alloderm
02.Autologous tissue
- Fat graft : Not very effective. - Temperal fascia : It is used for mild elevation(under 2mm). - Cartilage : Ear cartilage, rib cartilage - Fat - Bone
Aone uses autologous for dorsum implant. For mild elevation (under 2mm ) temperal fascia is used.
For higher elevation, diced cartilage wrapped in fascia is used
Heightening the nose dorsum with the facia >
Reason why implant such as silicon and goretex is no longer used in Aone
01.Implants shows through since skin gets thinner with age.
02.Foreign body could occur complication.
Benefit of dorsum augmentation
01.Face looks smaller.
02.Patients can have better eye expression.
03.Forehead and malar looks lower with dorsum augmentation.
  • The effect when heightening the nose dorsum

  • The effect when heightening the nose dorsum

Surgical method
01.Dorsum augmentation by using ear cartilage
Diced cartilage wrapped in fascia is inserted in nasal dorsum.
02.Dorsum augmentation by using rib cartilage
Rib cartilage is used for following cases. 1) When it is hard to harvest ear or septal cartilage 2) Ear or nasal septal cartilage is used up in previous operation. 3) When large amount of cartilage is needed 4) When patients have short nose or retracted columella 5) When strong support is needed due to lack of subnasal point or deep subnasal depression
03.Partial dorsum augmentation
Dorsum is augmented partially such as between nose or right above nasal tip. It is mostly performed on Pseudo-hump nose.
Click here to see psedo- hump nose > Click here to see correction of pseudo-hump nose >
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