Fat graft rhinoplasty
A procedure which removes surplus fat cells from one area of the body and then re-implants it.
Advantages of autologous fat grafting
Using patient’s own fat is almost perfect
Softer nasal bridge
Looks and feels natural
No rejection
No extrusion or migration
Prelude to 2nd stage rhinoplasty
Ideal replacement material for extruding implant
Disadvantages of autologous fat
~ 50% fat resorption can occur
Repeat procedure may be necessay
Where is fat graft harvested from
Patient’s own fat
Fat extracted from
- Abdomen
- Thighs
- Buttocks
Re-implanted into area that requires plumping
Indications for fat graft rhinoplasty
Saddle nose fill defects
Nasal soft tissue defects
Complicated silicone strut rhinoplasty
Siliconoma
Paraffinoma
Fat Selection
Fat pearl size < 1 x 1 x 1 cm
Post Operation
Follow-up 3 or 4 months later
Fat tissue survival rate of > 50%
using the fat pearl insertion method
Technique of fat graft rhinoplasty
Similar procedure to augmentation rhinoplasty using silicone strut
- Local anesthesia
- Incision and dorsal pocket fashioning
- Fat pearls insertion
- Suture closure
Procedure
Local anesthesia
Incision
Insertion of fat pearls
Suture
