No difference in scarring

Joseph Perlman, MD answers: Combine Rhinoplasty and Otoplasty for less scarring?

I am considering two procedures: a Rhinoplasty and an Otoplasty. I can't afford to have both procedures at the same time. I went for a consultation with a plastic surgeon for the Rhinoplasty and he said that he will probably need to harvest some cartilage from my ear to support my nose after performing an open Rhinoplasty.

Which procedure should I do first and does the order matter? Will I end up with less scars on my ears if I did the Otoplasty and Rhinoplasty at the same time, or will I have the same scars regardless if I had the operations six months apart due to cost reasons?


Joseph Perlman, MD
3 months ago

For the patient who requires cartilage grafts while undergoing a rhinoplasty, the most common choice is the septum which is the cartilage between the two sides of the nose.  Other choices are the rib cartilage as well as ear cartilage.  The ear cartilage is removed, through an incision behind the ear,which is also the incision used when performing an otoplasty.  If you cannot have both procedures done at the same time, and if you're surgeon has to use your cartilage, he will use the same incision when he goes back and to perform the otoplasty.

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