What are the advantages and disadvantages between Alloderm and Temporalis fascia in rhinoplasty to thicken the skin?
Temporalis fascia is the patient’s own tissue so infection is less likely to occur but it does involve a second surgical site above the patient’s ear to obtain this soft tissue. It rarely absorbs and usually the surgical donor site above the ear heals very quickly. Alloderm is a collagen sheet processed through FDA approved methods and has been used for many years with a very low infection rate. It can absorb to some extent depending on the patient. It is readily available and eliminates the need for a second surgical site. What are the risks of revision rhinoplasty in thin skin patients? Any revision rhinoplasty procedure has risks such as scarring, asymmetries, infection, bleeding, although these are not frequent, all risks need to be discussed with patients seeking revision rhinoplasty. Dr. Rizk performs revision rhinoplasty only if he feels the benefits to the patient outweigh the risks. Sometimes, Dr. Rizk will not choose to perform the revision if he feels the deformity is minor
