Dorsal Hump Correction - SM Plastic Surgery

An artificial implant (silicone, Gore-Tex, artificial dermis) can raise the nose comparatively easily and is straightforward to design with, though it may be felt as a foreign body and can shift under impact. Autologous tissue (ear cartilage, septal cartilage, rib cartilage, autologous dermis, fascia) is less likely to feel foreign, is soft and natural to the touch, and carries no burden of replacement — though it is comparatively demanding to shape, the available amount can be limited depending on the person, and some of the grafted tissue may be absorbed.

Septal cartilage, ear cartilage, autologous and donated rib cartilage, autologous dermis and fascia are used. The material that suits is chosen according to the state of the nose and the result you want.

Yes. Once the graft takes, autologous tissue carries less burden of shifting than an artificial implant. Some of the grafted tissue may be absorbed, however, and how well it holds varies from person to person, so it is checked at regular follow-up.

It suits those who want a natural nose line, those uneasy about an implant, those whose bridge is not especially low to begin with, those considering revision because of inflammation or contracture, and those who want a natural line when correcting a crooked or hump nose.

Sutures come out about 7 days after surgery, and a return to daily life is possible after about 7 days as well. Follow-up visits number around 2–3, with no hospital stay. The degree of swelling and bruising varies from person to person.

The examination allows a three-dimensional assessment of the size, shape and degree of deviation of the nasal bone and septal cartilage, and the overall state of the skin tissue along with any asymmetry. Grasping in detail even what is hard to see with the eye makes it possible to build a plan that suits you.

Correcting a crooked or aquiline nose while keeping a natural line is also assessed under implant-free rhinoplasty. Instead of an artificial implant, the approach uses your own nasal bridge or autologous tissue to refine the line. The method depends on the condition of the nasal bone and cartilage and is decided after examination.

Autologous rib cartilage comes from your own body, while donated rib cartilage is processed tissue from a donor. Which is used depends on the amount of cartilage needed, the condition of the nose, and whether harvesting is possible. We explain the characteristics and recovery involved in each at the consultation before deciding.

We select from septal, ear, and rib cartilage according to the condition of your nose. The criteria are the support needed to build up the tip and the size and shape of cartilage that can be harvested. The size and degree of deviation of the septal cartilage are checked at the pre-operative examination before deciding.

Part of the transplanted autologous tissue can be absorbed. How well it takes and how long it lasts differ with the condition of the tissue and each person's healing. We take this into account when calculating the amount and placement, and changes in shape are monitored at follow-up visits.

Autologous dermis and fascia are used to cover areas that cartilage alone cannot fill well, or to add thickness. They are combined with septal, ear, and rib cartilage according to the condition of the nose. Which tissue is used, and how much, is decided after assessing skin thickness and tissue condition at the examination.

It is performed under sedation anesthesia and takes about one to two hours. No hospital stay is needed, and two to three follow-up visits are made to check healing. The time can vary with the type of autologous tissue used and the extent of correction.

The line is created using your own nasal bridge together with autologous cartilage or donated dermis. This approach is discussed particularly when the bridge is not originally very low. Whether autologous tissue alone is enough depends on the height required and the condition of the nose, and is judged at examination.

Once it has taken, autologous tissue feels soft and helps create a texture close to your own tissue. The approach aims to reduce the sense of a foreign body and the risk of displacement from impact that can occur with an artificial implant. Texture and shape still vary between individuals.

The amount of swelling depends on the extent of correction and the tissue used, so neither method can be said to always take longer. Where autologous tissue has been harvested, healing at that donor site is followed as well. Recovery speed differs between people, so we advise while checking your progress.