The Role of Fascia Lata Graft in Treatment and Camouflage of Nasal Dorsum Irregularities

Abstract
Background: Nasal dorsal irregularities after rhinoplasty are troublesome for both patient and surgeon, especially in patients with thin dorsal skin, which may be seen after improper hump reduction and multiple surgeries. Many types of grafts have been used for nasal contouring, augmentation and cam-ouflage as diced cartilage, fascia, dermal grafts, alloderm and banked allograft.
Methods: We report the use of Fascia Lata (FL) graft for dorsalcontouring and camouflage in 20 patients who underwent rhinoplasty between May 2015 to September 2016. There were 12 male and 8 female patients, with ages ranging from 18 to 43 years (mean age: 30.35). Of the 20 patients, 12 underwent primary rhinoplasty, while 8 were secondary cases. An informed consent was obtained from all patients for the use of FL graft. The graft was harvested from the right lateral thigh. A simple method was used to placethe graft over the nasal dorsum. Post-operative follow-up period was 16 months. Clinical evaluation was made by inspection, palpation and photographic documentation.
In addition, a questionnaire related to patient satisfaction and donor-site morbidity.
Results: All patients had satisfactory aesthetic results, andno apparent irregularities were observed over the nasal dorsum. The questionnaire resultsshowed that all patients, but one, were satisfied with surgery, and were not concerned aboutdonor-site scar; however, one patient had donor-site morbidity.
Conclusions: This study conclusively shows that it is a reliable, simple method for camouflaging any post-operative dorsalirregularities, particularly in patients with thin nasal skin.