Augmentation

Making something bigger. Dorsal augmentation in rhinoplasty can be done with grafts, implants, and allografts.

Augmentation in rhinoplasty means adding height, volume, or structural support to part of the nose. It is often used to build up a low bridge, improve the transition between the forehead and nose, restore an area that was overreduced during previous surgery, or strengthen a nose affected by trauma or collapse. Augmentation may involve the radix, bridge, sidewalls, tip, or more than one area.

Several materials can be used depending on the amount of support needed and the patient’s anatomy. Cartilage from the septum, ear, or rib is commonly used because it comes from the patient’s own body. Processed cartilage allografts and synthetic implants are additional options in selected cases. Each material has different strengths, limitations, and risks, so the choice is based on the location of the deficiency and the amount of correction required.

Successful augmentation depends on more than adding volume. The graft must be shaped smoothly, placed in a stable pocket, and blended with the surrounding nasal framework. An oversized or poorly positioned graft can look obvious, shift, or create irregularities as swelling goes down. The goal is to restore proportion and support while maintaining natural lines from the front and side.

For patients considering augmentation rhinoplasty in Beverly Hills, understanding the available grafting options can help make the surgical plan easier to follow. Dr. Richard Zoumalan carefully evaluates the bridge, tip, skin thickness, and existing support to determine which material and technique may create a stable, natural-looking result.