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Using Gynecomastia in nose reconstruction surgery?! is it possible? jHas it been ever tried?

Q:

Hi dear doctors, I have a saddle nose as a result of an accident. I also have Gynecomastia (enlarged male breast), although I'm not fat. Is it possible to use such a firm and non absorbable fat tissue in reconstructing the nose bridge instead of damaging my ear or rib cartilage? Thanks

A:

 To answer your question the answer would be yes it has been done. However, long term results with fat and fat dermal grafts to correct the saddle nose deformity have been less than optimal. Ear (chonchal) and rib grafts often wrapped in fascia have much more reliable long term results. Best,

 

Gary R Culbertson, MD, FACS

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