Raleigh-Durham Revision Rhinoplasty doctors

	Adam D. Stein, MD Raleigh-Durham Facial Plastic Surgeon 4301 Lake Boone Trl # 309, Raleigh		13 answers
	J. Charles Finn, MD Raleigh-Durham Facial Plastic Surgeon 1390 Environ Way , Chapel Hill		3 answers
	Michael Law, MD Raleigh-Durham Plastic Surgeon 10941 Raven Ridge Rd Suite 103, Raleigh
	Raymond Cook, M.D. Raleigh-Durham Facial Plastic Surgeon 10000 Falls of Neuse Rd Suite 205, Raleigh
	Samuel Davis, III, M.D. Raleigh-Durham Facial Plastic Surgeon Sanford

Recent Answers

Advantages of Rib Cartilage over Prosthesis? What would be some of the advantages of using rib cartilage as opposed to a prosthesis when undergoing revision rhinoplasty to reshape the bridge of my nose?

A: pros and cons

The Pro's of (your own) rib cartilage: 1. natural tissue. 2. Can shape and use multiple areas of the nose

The con's:1 A seperate surgery , with risks, is needed to harvest the rib. 2. Ribs can warp, resorb, get infected and sometimes move.

The pro's of an implant (a prosthesis is worn OUTSIDE the nose!): 1. can shape as needed. 2. wont resorb. 3. good for dorsum.

The con's: 1. cost. 2. small lifetime risk of infection. 3. NOT good for the tip!

Please consult with a surgeon experienced in ALL aspects of rhinoplasty to learn what is YOUR best option. Good luck!

J. Charles Finn, MD

Raleigh-Durham Facial Plastic Surgeon

For What Scenarios Does a Nose Revision Pose More Risks Than the First Procedure? Why is revision rhinoplasty a longer surgery than the original? What are the most common complications to the bone, cartilage and skin?

A: one word--- scarring

Revision rhinoplasties are almost always much harder than the original surgery! Scar tissue under the skin makes dissection more difficult and the surgeon never knows what will be found. If cartilage was removed at the original surgery, grafting of cartilage is more likely to be necessary. Make sure the surgeon has a lot of experience in revision rhinoplasty. Scarring and swelling tends to be worse after a revision surgery as well.

J. Charles Finn, MD

Raleigh-Durham Facial Plastic Surgeon

Cartilage from Another Person in Rhinoplasty? I'm considering revision rhinoplasty and I need grafts for my slightly upturned tip and bridge. Recently, I went to consultations for revision. I was very suprised when surgeon said that patient's own cartilage is not good source in revision rhinoplasty. He said that our own tissue (cartilage) is too soft and will warp with time. The only solution to achieve long term result is to take tissue from another person. I am very sceptical about it and I would like to hear your opinion. Thanks

A: Cartilage from Another Person???

That is certainly not correct IMHO. Although it is true that cartilage from your own body can resorb and even warp occasionally with time, most experienced rhinoplasty surgeons would tell you that using this material is by far the best material for reconstructing the nose. If there is septal cartilage, that is usually used first. If there is no septal cartilage left from previous surgery, then most surgeons would choose ear cartilage or possibly rib cartilage depending on what it will be used for. In either case, material harvested from your own body is usually considered best.

Adam D. Stein, MD

Raleigh-Durham Facial Plastic Surgeon