Don't use fascia from the outset

【Rhinoplasty | What’s the difference between “fascia” and “implants” for the nasal bridge?】

Cho Bae-Jung, a board-certified plastic surgeon at KOKO Plastic Surgery, explains the materials used to shape the nasal bridge. In addition to implants such as silicone and Gore-Tex, the patient’s own tissue, known as “fascia,” may be used to shape the nasal bridge.

So, what are the differences between them?

Why implants may be recommended over fascia

Younger patients in particular tend to prefer a well-defined nasal bridge with a clean, elevated profile. Fascia is soft and blends naturally, but fascia alone may not provide enough height or definition to achieve the desired result.

For this reason, implants such as silicone or Gore-Tex may be proposed as the first option for patients who want a more clearly defined nasal bridge.

What does rhinoplasty using fascia involve?

Fascia may be layered to add thickness, or used to wrap rib cartilage before it is grafted onto the nasal bridge. Combining rib cartilage with fascia may be an option when substantial height in the nasal bridge is desired.

Balance with the nasal tip matters too—not just the nasal bridge!

Creating a beautiful nasal profile requires considering not only the height of the nasal bridge, but also how naturally it flows into the nasal tip. Soft tissue such as fascia alone may make it difficult to create the desired sharp definition.

Implants such as silicone, on the other hand, allow the height and shape of the nasal bridge to be adjusted relatively clearly. When combined with nasal tip shaping, they can also make it easier to balance the nose as a whole.

The relatively simple surgical technique is another reason implants may be selected.

What matters is choosing a material suited to both your desired nose shape and the current condition of your nose.

At KOKO Plastic Surgery, we propose an appropriate surgical approach based on each patient’s nasal condition and preferences.