Is alloderm a good choice when the nose needs to be built up? How is it used?

While alloderm has been used with nice results, I tend to prefer using your own tissue to build the nose back up.  My preferred material is something called temporalis fascia.  This is a thin layer that covers a muscle in your temple region.  I can access and obtain this fascia through a small incision well hidden within your hair.  In addition to temporalis fascia to build the nose up, sometimes we need more material if the nose needs to be built up even further.  In these circumstances, I like to use your own cartilage.  The preferred source of this cartilage is from the nasal septum.  Other potential sources include ear cartilage and rib cartilage.