The use of AlloDerm for the correction of nasal contour deformities

What rhinoplasty surgeon has not been frustrated by unmet expectations from unreliable graft materials? The quest for an ideal graft continues. Septal cartilage is not always adequate in amount or substance. Ear cartilage may cause unsightly ir regularities over time. Cranial bone or rib harvest sit es add to the complexity of the procedure and can be intimidating for many operators. This article describes the authors' successful experience with A lloDerm onlay grafts for the correction of nasal contour deformities in 58 primary and secondary rhinoplasty cases by means of the open and endonasal approaches. Forty-two patients received an open-approach procedure; the rem aining 16 received grafting through an endonasal or closed approach. Thirty -seven of the patients were secondary rhinoplasty patients, and some underw ent multiple nasal corrections. The indications, intraoperative surgical te chnique of graft placement, and representative results will he discussed. L ong-term follow-up showed good results, though partial graft resorption occ urred in some patients. Overall, this experience with AlloDerm for nasal au gmentation was encouraging.