Fat grafting basics
Fat grafting, or lipofilling, uses your own fat to add volume and refine nose contours during revision rhinoplasty. The technique harvests fat from areas like the abdomen or thighs and processes it for safe reinjection. Because tissue behavior varies, outcomes are best when the plan aligns with the surrounding nasal tissue and skin thickness.
During consultation, surgeons assess skin quality, bone support, and the balance with the rest of the face. Small amounts are injected gradually to avoid overfilling and to maintain natural slopes. Patients should understand that fat survival differs and touch-ups may be needed after several months.
Rhinoplasty fat planning
Planning fat grafting for a nose revision requires precise goals, such as restoring dorsal height, improving tip definition, or correcting asymmetry. A skilled surgeon translates aesthetic desires into a feasible map that respects skin thickness and internal nasal support. Natural-looking results depend on matching donor fat quality, graft volume, and the nose's current structural integrity.
Preoperative imaging and measurements guide how much lift is safe and where to place grafts. Rib cartilage may be used for structural support, while fat fills shallow defects for a smoother transition. Patients should discuss realistic timelines, as early results may not reflect final contour until swelling subsides.
Autologous tissue options
Autologous tissue options include fat grafts, ear cartilage, and rib cartilage, with fascia as a supplementary material. Using your own tissue reduces rejection risk and often yields a natural feel, though it requires careful handling. Choosing the donor site depends on available tissue, desired stiffness, and the nasal skin envelope's response.
Rib cartilage is sturdy for support, while ear cartilage offers flexibility for tip refinement. Fat grafts provide soft fullness and can smooth irregularities without visible implants. Combination approaches balance structure and contour, minimizing the chance of graft migration.
Recovery after revision
Recovery after nose revision varies with the extent of work and graft types used. Swelling and bruising typically fade over weeks, with final shape visible after several months. Follow-up visits help ensure graft settlement aligns with the planned contour.
Patients should avoid excessive facial pressure, strenuous activities, and foods that require intense chewing in the early healing phase. Adequate sleep, hydration, and balanced nutrition support tissue recovery and graft integration. If numbness, persistent asymmetry, or unusual pain appears, consult the surgeon promptly.