Cadaver tissue is sometimes used in Asian rhinoplasty as a material to augment or increase the size of the nose in Asian nose surgery. The cadaver tissue is either cartilage or dermal graft. These cadaver tissues are free of disease because they have been irradiated.
Cadaver tissues are used for two main reasons in Asian rhinoplasty:
One is when there has been a problem of silicone implant in the past. Thus, in revision rhinoplasty where the prior silicone implant has created a complication such as an infection or shortening of the nose, a cadaver tissue can be used.
Another reason for using a cadaver tissue such as a dermis (skin) is to add padding to the silicone at the tip of the nose. Sometimes in Asian nose surgery, the tip can be subjected to a significant amount of pressure during augmentation. Therefore, a plastic surgeon may put cadaver skin to augment the nasal tip or to give some padding to the nose tip.
However, the main problem of these cadaver tissues is that they are unpredictable when it comes to resorption. Resorption means that one’s own body will get rid of these tissues. Your body will recognize that they are not your own tissue and will try to get rid of them because they are foreign tissue. Therefore, during Asian rhinoplasty, if this cadaver cartilage (irradiated cartilage) or dermis (Alloderm) is used, then a few years after surgery, there will be a change in shape. In Korean rhinoplasty, many Korean plastic surgeons use cadaver dermis (Alloderm) on the nasal tip.
It is quite common for Korean plastic surgeons to apply cadaver skin on the nasal tip. But once your body absorbs them, the tip will thin out and you can feel the silicone implant on the nasal tip.
When the cadaver cartilage is used to increase the nasal tip projection in Asian nose surgery or Korean nose surgery, the nasal tip projection decreases over time. Again, it is because one’s own body will try to get rid of irradiated cartilage from a cadaver.
Therefore, the take-home message is that tissue from the cadaver is sometimes used in Asia and Korea in Asian rhinoplasty or Korean nose surgery. However, it’s durability or permanency is low because your body will try to get rid of them.
Thus, although one’s nose may look great initially, over time, the nose will change shape and may require revision Asian rhinoplasty or revision Korean nose surgery.
During the consultation, Dr. Kenneth Kim will go over whether one has received cadaver tissue and how stable the cadaver cartilage or skin is. Dr. Kenneth Kim, a board certified plastic surgeon in Los Angeles, California does not use cadaver cartilage.
Dr. Kim also does not use cadaver dermis (Alloderm) in Asian rhinoplasty or Asian nose surgery.
Dr. Kenneth Kim will remove them and use your own tissue to perform revision Asian rhinoplasty / revision Asian nose surgery.