Single Incision for Diced Cartilage-Fascia Graft in Nasal Augmentation Surgery

This procedure video illustrates the technique of nasal augmentation using a diced cartilage-fascia graft:
A single incision is made on the medial aspect of the pinna and continued superiorly directly over the retroauricular skin crease onto the superior postaural skin for harvesting of the fascial graft. (00:45)
The conchal cartilage and an appropriately sized sheet of temporalis fascia are harvested through the same incision (01:36)
Illustration of an open septorhinoplasty approach with an asymmetric incision for V-Y lengthening of the left nostril in a patient with repaired cleft palate (03:22)
The conchal cartilate graft is then diced into 0.5-1.0 mm pieces. The fragments are kept moist in normal saline. The fascia is pinned to a silicone block and debrided of all adherent muscle, and the diced cartilage is placed on the center of the fascial graft. (06:00)
A 4-0 absorbable suture is used to close the fascia over the diced cartilage (06:45)
The graft is carefully placed into the recipient site using percutaneous sutures. The graft is carefully molded and manipulated to give the required augmentation. (07:37)
The remainder of the septorhinoplasty is completed, and reinforced silastic splints are placed to support and protect the healing nose. (09:27)
Read the full description and discussion at


  1. Sincere Watford

    Sincere Watford

    преди 17 часа

    This helped for food

  2. Tiffany


    преди 22 часа

    Imagine you trying to breathe through your nose but they’re literally doing surgery on it and you can barely breathe through your mouth because you have a mask on. 🥶🥶

  3. Clea Salazar

    Clea Salazar

    преди ден

    Why not any after photos

  4. Dwan Tanjila

    Dwan Tanjila

    преди ден

    Where Place

  5. Anfal Ameen

    Anfal Ameen

    преди ден

    Inaccurate surgery is very poor

  6. - BeckyJm -

    - BeckyJm -

    преди 2 дни


  7. I'm in the ghetto rAtatatA

    I'm in the ghetto rAtatatA

    преди 2 дни

    No one is watching this fullscreen If u r...... I'm impressed

  8. Anonymous Hacker

    Anonymous Hacker

    преди 3 дни

    Its not easy to be a doctor

  9. Jessie Baker

    Jessie Baker

    преди 3 дни

    Why why

  10. PaGeez


    преди 3 дни

    Do u feel anything in your sleep

  11. MAY HAN


    преди 4 дни

    hard to breath when watching...

  12. MDR. FOXY


    преди 4 дни

    Normally I LOVE gore in horror movies, like Jaws being broken or arms being bent backwards so the bone pokes out, but for once this legit made me cringe

  13. A Aleron

    A Aleron

    преди 4 дни

    It is still crooked

  14. Micah Brown

    Micah Brown

    преди 4 дни

    Me lossing my apotite like yum nose meat that was smart to watch

  15. Yousouf Hayat

    Yousouf Hayat

    преди 5 дни

    Omg! Please guys dont change God’s gifted figure .. u can do plastic surgeries but God creates us at its best .. plastic surgery will never surpass God’s miracle job ..

  16. Layha Nysma

    Layha Nysma

    преди 5 дни

    Me:my nose is too big Me seeing this video now:meh never mind I love my nose

  17. blackfriendiya


    преди 5 дни

    wait so my aunt got this before and i thought it was simple asf until i saw this

  18. kur ellan

    kur ellan

    преди 5 дни

    right after this i might not eat something that has a color of red

  19. spicy uwu _gacha cøøkie

    spicy uwu _gacha cøøkie

    преди 5 дни

    He was cutting it like food...T~T

  20. Atlas


    преди 5 дни

    holy shot

  21. Star Fire

    Star Fire

    преди 6 дни

    Just got a nose job, I dont think it was as complicated as this tho...

  22. PNA Global Resource Xzmyaaxx

    PNA Global Resource Xzmyaaxx

    преди 7 дни

    Aaaaaa is hurt omg Why u need do plastic surgery for beutiful just go to sauna

  23. Lola Flora

    Lola Flora

    преди 7 дни

    Me:ugh my nose is too biiig Also me after seeing thumbnail: yeah my nose dont look too bad

  24. Craijy


    преди 7 дни

    What’s onions gotta do with this surgery 6:07

  25. Qerax Meel

    Qerax Meel

    преди 8 дни

    Türk varmı

  26. Rockstar Mighty

    Rockstar Mighty

    преди 8 дни


  27. Iqbal Farhan

    Iqbal Farhan

    преди 8 дни


  28. NCT_TYtrack


    преди 9 дни

    I always thought of getting a new jawline.. but after looking at this.. nvm

  29. Kala Tendua

    Kala Tendua

    преди 9 дни

    My nose is so ugly even my parents say it's ugly

  30. Nani Dechu

    Nani Dechu

    преди 10 дни

    When I was 15 I had a rhinoplasty cause when I was younger I went through a severe trauma, broke my nose and split some parts of my facia bones, so when I started to grow up obviously my face bones and muscles too, but they growth very deformed, so I had to deal with severe and daily health problems, such as severe nose bleeding, my nose always hurt, obviously deformed and visibly deformed nose and breathing problems, like seriously, some days I even wasn't able to breathe through my nose at all (plus my asma problems sum...) My surgery was performed for about 5 hours that day. When I woke up from the anesthesia I seriously wanted to die, it was a terrific pain what I felt. The great surprise was that the doctor said that I will also need anther surgery when I grow up, cause they reconstructed it partially but couldn't made it at its 100% cause my nose was still very young and it would be growing for some more years(in fact, the nose area is always "growing", more like agening, like it will be agening until we die haha) so here I am, watching this 11 years later, with the same problems but in less "quantity" preparing my guts for another surgery that I hope happens the sooner, the better. Really 100000 kudos for all those surgeons that performs such complicated procedures, and obviously kudos for all the people who went through this or want or need to go through this procedure for better health/cosmetic results. 👏🏻🎉

  31. rommel ibasco

    rommel ibasco

    преди 10 дни

    Nahilo aq sa panonood eh..kaway2x sa mga pilipinong proud to be flat nose



    преди 10 дни

    Omg i did not finish this i cant watch it

  33. Lazy Kitten•

    Lazy Kitten•

    преди 10 дни

    Omg did any of you notice that they aren't wearing gloves

  34. kightremin


    преди 10 дни

    They made a dumpling out of her then put it back to her.

  35. hdn hamza

    hdn hamza

    преди 11 дни

    Wtf without gloves ??

  36. Sahil Bansal

    Sahil Bansal

    преди 11 дни

    God made you perfectly No need of any adjustments

  37. Jhoana Marie Baluyot

    Jhoana Marie Baluyot

    преди 12 дни

    do u think it will hurt as hell if that person wakes up after the surgery?

  38. Genesis Gonzalez

    Genesis Gonzalez

    преди 12 дни

    When I grow up I want to be surgeon plastic surgeon but I'm going to have to handle with a lot of cutting and disgusting stuff 😫🤮

  39. imsorry_RYTUTIYI


    преди 12 дни

    Jama nama

  40. Royal Melaine2

    Royal Melaine2

    преди 12 дни

    ωну αяє тнєу иσт ωєαяιиg gℓσνєѕ ;-;

  41. exatic subliminals

    exatic subliminals

    преди 12 дни

    Im Good uh im yea no i don’t need that yea

  42. kitkat summer

    kitkat summer

    преди 12 дни

    why you put the ear in the nose? This is so messed up

  43. kitkat summer

    kitkat summer

    преди 12 дни


  44. kitkat summer

    kitkat summer

    преди 12 дни

    oh never mind I guess I should start watching the whole video before I comment. What's wrong with them?

  45. kitkat summer

    kitkat summer

    преди 12 дни

    why does it show a nose as the pic but its really an ear? Is that person dead? If so, why are you going so deep there no point you're just taking big risks.

  46. Gushy kєíz

    Gushy kєíz

    преди 13 дни

    Ok....Now i dont want to do a nose job.This video is making me cringe.😐😐

  47. Rinhlupuii Vangchhia

    Rinhlupuii Vangchhia

    преди 14 дни

    I don't like it

  48. polarnyong


    преди 14 дни

    When he started to finely dice the cartilage I thought he was going to like cook it or do some real fucked up shit

  49. Doris Molina

    Doris Molina

    преди 14 дни

    I still want one but I need a sugar daddy first 😂😂sn

  50. Jerah Tan

    Jerah Tan

    преди 14 дни

    Thankyou so much for this tutorial. Ill try it to my brother

  51. Simple_Moon


    преди 14 дни

    Oh hell no I ain't getting a nose job anymore And does that girl even alive



    преди 15 дни

    i still want to have a nosejob

  53. Its Celine

    Its Celine

    преди 15 дни

    I'm so confused i thought he wasn't wearing any gloves

  54. jane. jnr

    jane. jnr

    преди 15 дни

    Chop up the cooked chicken breast and place it on the tortilla wrap. Wrap it up, Enjoy!

  55. Sulfur 16

    Sulfur 16

    преди 15 дни

    The shit I watch to make myself feel better...

  56. elzz. u

    elzz. u

    преди 16 дни

    Imagine her watching this vid afterwards

  57. Rajwant Kaur

    Rajwant Kaur

    преди 16 дни


  58. Linda Lalrinpuii

    Linda Lalrinpuii

    преди 16 дни

    My nose is bulgy

  59. AdminPlayz


    преди 16 дни

    Only the helper uses

  60. AdminPlayz


    преди 16 дни

    Why they dont use gloves?