Carolina Facial Plastic Surgery

Temporalis Fascia Harvest

When Dr. Kulbersh performs different types of rhinoplasty or revision rhinoplasty procedures for a patient in Charlotte, the first priority is achieving the best aesthetic and functional nose possible.  Patients with thin skin have unique challenges during a procedure.  Patients with thicker nasal skin will hide the most minor irregularities of the bony cartilaginous framework of the nose.  This is in direct contrast to patients with thin skin who will have the most minor irregularities of the nose visible after this surgery.  For this reason patients with thin skin are recommend to use additional tissue underneath the skin to slightly thicken it.  This tissue Dr. Kulbersh frequently uses is called temporalis fascia.

Why Choose Dr. Kulbersh For Temporalis Fascia Harvesting?

As a rhinoplasty specialist in Charlotte, Dr. Kulbersh takes every step possible to ensure that patients have the best chance of a successful long-lasting result. Through the experience training with top surgeons in Beverly Hills, Dr. Kulbersh has worked with patients with thin skin and have successfully resolved many potential problems that could arise years out from whatever types of surgery their undergoing, including the appearance of nasal irregularities or continued thinning of the nasal skin. Dr. Kulbersh takes a pro-active approach and uses techniques that will minimize the typical problems that arise after rhinoplasty.

Temporalis Fascia

Fascia is a thin layer or sheet of connective tissue that can be found in many areas of the body. Temporal fascia is located on a thin muscle in the temple region on the face.  It can be used for grafting since it is easy to obtain, in plentiful supply, and the incision can be hidden in the hairline. Fascia helps to provide an additional ‘cushion’ layer that aids in making the nose look smooth and natural as it heals.  This  can be evident many years after surgery. Patients with thicker skin usually do not require fascia grafting during rhinoplasty because they their skin is thick enough to prevent possible issues. 

During fascia harvesting, the incision is made above the ear and completely contained within the hairline. After Dr. Kulbersh obtains the proper amount of tissue, the incision is closed with absorbable sutures or staples. Once healed, it is typically undetectable and leaves a minimal scar. Most patients report a quick recovery time within a week of the procedure.

Temporalis Fascia Harvesting FAQs

Q: What is a graft and when are grafts necessary in rhinoplasty surgery?

A: A graft is either a piece of cartilage, cartilage and skin (composite graft), or soft tissue (as in temporalis fascia)  It can be used in surgery to support lost tissue from a previous procedure or to correct collapsing areas. A graft may also be used during a primary rhinoplasty to create more definition in the nose in ethnic or thick skinned patients to support weak cartilages and prevent them from collapsing, or to straighten the nose.

Q: If I already had a rhinoplasty and because of my thin skin have many irregularities, what do I do?

A: If you have already undergone a rhinoplasty and have thin skin, you may be a candidate for revision to smooth out the edges that are visible and place soft tissue between the thin skin, cartilage and bone framework of the nose to give a softer look. Temporalis fascia (soft tissue from above the patient’s ear) may be placed below the nasal skin to slightly thicken it to camouflage minor irregularities of the nose.

Q: What are the advantages of using temporalis fascia in rhinoplasty to thicken the skin?

A:  Temporalis fascia is the patient’s own tissue and it is a safe grafting material to the nose.  The incision heals quickly with the minimal scar that is well hidden in the hairline.  The majority of patients have no issues from harvesting of the temporalis fascia.

Learn More About Temporalis Fascia Harvesting

As a leading expert in facial plastic and reconstructive surgery, Dr. Kulbersh can help you make the right choice when it comes to the types of rhinoplasty procedure that will be best for you.  If you’d like to learn more about the best technique to bring optimal results, Dr. Kulbersh encourages contacting the office in Charlotte by calling 704.323.5090 to schedule an initial consultation. For more information, please contact Carolina Facial Plastics today.

Trained with the Top Rhinoplasty
Surgeon in Beverly Hills

Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

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