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Wu et al. Plast Aesthet Res 2019;6:5 Plastic and
DOI: 10.20517/2347-9264.2018.74 Aesthetic Research

Technical Note Open Access

An updated diced cartilage fascia technique for
dorsal augmentation in rhinoplasty

Jinli Wu , Donald B. Yoo 1,2,3
1
1 Private practice, Facial Plastic & Reconstructive Surgery, Beverly Hills, CA 90212, USA.
2 Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology - Head & Neck Surgery, University of Southern
California, Los Angeles, CA 90033, USA.
3 Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology - Head & Neck Surgery, University of California - Los
Angeles, Los Angeles, CA 90095, USA.

Correspondence to: Dr. Donald B. Yoo, Facial Plastic Surgery, 120 S. Spalding Drive Suite 303, Beverly Hills, CA 90212, USA.
E-mail: info@donyoomd.com

How to cite this article: Wu J, Yoo DB. An updated diced cartilage fascia technique for dorsal augmentation in rhinoplasty. Plast Aesthet
Res 2019;6:5. http://dx.doi.org/10.20517/2347-9264.2018.74

Received: 24 Oct 2018 First Decision: 30 Oct 2018 Revised: 21 Dec 2018 Accepted: 29 Jan 2019 Published: 22 Mar 2019

Science Editor: Hong Ryul Jin Copy Editor: Cai-Hong Wang Production Editor: Huan-Liang Wu

Abstract

The aim of this paper is to discuss an updated technique for dorsal augmentation during rhinoplasty using diced cartilage
wrapped in fascia. The usage of diced cartilage has been variously described in the literature with consistently satisfactory
results. Herein, we present our experience with patients undergoing dorsal augmentation during rhinoplasty using an
updated method of diced cartilage wrapped in fascia. Diced cartilage fascia techniques have become the technique of
choice for dorsal augmentation for an ever-increasing number of rhinoplasty surgeons. The term is broadly descriptive
and there remains a wide-range of ways to execute. Updating and enhancing the technique with greater attention to
precision, and creating an aesthetically optimal and predictable result, may result in even improved outcomes for future
patients.

Keywords: Rhinoplasty, revision rhinoplasty, dorsal augmentation, costal cartilage, diced cartilage, asian rhinoplasty, DCF,
diced cartilage fascia

INTRODUCTION
In the practice of medicine, the concept of the “gold standard” refers to the best available test or treatment
under reasonable conditions. Given the relative lack of purely objective experimentation and testing in

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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