• Surgery Time	Method of Anesthesia	Reloose-fitting String	Hospitalization	Total Visiting Treatment	Everyday Life
  45minute~1hrs	Local Anesthesia(Sleep Anesthesia)	No need(Absorbable string)	No need	2 ~ 3 times	Possible in 3 ~ 4 days

• Ultradiced cartilage fillers for rhinoplasty!
• 
• 100 % natural autologous cartilage rhinoplasty
  Silicone and gortex artifial material has been widely used however. Their terrible side effects such as infection, contracture, exposure or displacement and has brought to patient’s worry and fear.
• 
• Therefore, EFIL plastic clinic keeps our philosphy using only autologus tissues for plastic surgery to prevent artificial side effects.
  Only 1 cm incision on chest can be allowed for harvest cartilage with unbelievable techniques.
  Ear and nose cartilage cannot be alternative of nasal dorsal augmenation material due to very small amount of cartilage.
• Why does not EFIL center use silicone or gortex material?
•  Completely block the possible side effects from artificial material for rhinoplasty
•  Possible trauma on nose in the future
• Facial trauma from skiing or traffic accident can lacerate of fracture nose someday in the future and you need to remove your silicone or gortex material for prevention of possible infections
•  Products from factory cannot be adjusted on each individual characterized facial bone.
•  Simultanous rhinoplasty with nasal bone fracture cannot be allowed with artificial material.
        However autulogous cartilage will be perfect for this.
•  Lateral osteotomy may tear nasal mucosa and allow bacterial enterance.
        So artifical material cannot be used with lateral ostoeotomy
•  Artifical material invade and melt the nasal bone in the future
•  Common cold or viral infection after rhinoplasty…. Disaster for artifical rhinoplastsy
•  30 years follow up infection from artifical material , did you imagine?
• Why to use Ultrafine diced cartilage

• Ultrafine diced cartilage graft	Autologous Rib graft
  lowest absorption rate < 10% Lowest possibility of bending nature Abundant volume	Highest possibility of bending nature Absoprtion rate 20- 30%
  Nasal setal / conchal graft	Dermofat graft
  Inadequate volume for nasal dorsum( 0.3- 0.4cc)	Highest absorption rate over 50% Soft feeling for nasal dorsum

• 	No side effect of Silicone such as contracture,exposure, infection
  	Safe from possible nasal trauma
  	After trauma, removal of sillicone should be considered
  	No bending nature
  	Costal cartilage has bending nature however, diced rib particle does not has bending nature

• advantage of Ultradiced cartilage fillers for rhinoplasty
• 

• 	0% side effect of artificial material from autulogous cartilage graft
  	Removed bending characteristics from costal cartilage due to dicing cartilage.
  	Hand made rhinoplasty like clay with ultradiced particle cartilage.
  	Almost 0% infection rate( 0.2% )
  	1cm scar on inframammry fold- invisible
  	No disadvantage of artificial material rhinoplasty
  	Best survival rate among autologous tissues ( about 90%)

• advantage of Ultradiced cartilage fillers for rhinoplasty

• • Step 1
    Adequte counselling after 3D CT and 2D photo

  • Step 2
    2D photo analysis and 3D CT analysis will be assessed

  • Step 3
    Ideal nose and functional issue Goal achievement

• Functional rhinioplasty with 3D CT
• 
• Through 3dimensional CT, rhiniologic analysis should be assessed such as rhinitis, deviated septum or previous trauma evidence.

• Other clinics- rhinoiplasty		EFIL rhinoplasty
  Photo with camera	Preop. Analysis	Camera and 3D CT and 2D photo analsis
  Excluded intranasal state	Op plan	Through 3D C and profile template from 2D analysis
  Minimized assessment of functional issue	result	Always consideration of functional issue with aesthetic rhinoplasty
  Hard to correct	Functional issue	Enhancement with rhinoplasty
  Increased rate of infection and contracture	revision	Minimized rate of infection and contracure
  From clinical experience and incision	Septal amount	Preoperative assessment with 3D CT
  Just predict nasal bone shape	Nasal bone	Precise nasal bone assessment is possible

AUTOLOGOUS

• Diced rib cartilage surgery
• By type rhinoplasty
• Low Nasal dorsum
• Roman Nose/Polly Beak Nose Deformity
• Arrow Shaped Nose
• Deviated Nose
• Short Nose
• Stubby Nose
• Revision and Functional in the Rhinoplasty