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Will an Autologous Rib Cartilage Graft Help Achieve Desired Results? (photo)

asked 6 months ago by Prorsum in Oslo
Latest answer by Charles S. Lee, MD
Question viewed 277 times
Tags: candidate, lengthen, rib graft

I'm in the last few months of researching before I schedule a date for my rhinoplasty. I am most interested in the autologous rib cartilage graft instead of using synthetic materials. In the attached image, the 1st image is my nose currently (my mother has a short nose and she passed it onto me...) and the 2nd is the nose I would love to have post-op. I was wondering, for the rhinoplasty procedure, is this achievable? A doctor told me he will be using my 7th rib cartilage to achieve the height.

14 answers to Will an Autologous Rib Cartilage Graft Help Achieve Desired Results? (photo)

+4

Rib Cartilage to achieve desired results

Thank you for your question. After reviewing your photograph of your desired result I feel that this amount of increased projection is completely unrealistic. You simply do not have enough soft tissue to accomplish this esthetic result. Having said that you will be able to achieve a significant improvement,however, the amount of improvement can only be determined after an examination of the soft tissues of your nose. As for the material it is a general... more
Donald M. Brown, MD

San Francisco Plastic Surgeon
+2

Rib graft is an option for Asian rhinoplasty

The rib graft suggested to you is a very good option for the result you are looking for from rhinoplasty, and may prove more problem free than synthetic materials used to build up the nasal bridge. Ask your surgeon for his computer simulation, as the photo you have worked up may be too optimistic. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Rib graft to enlarge the Asian nose

The amount of augmentation you drew out does not look reasonable to me. It depends on how tight your skin tissue is, but based on the photo alone, I don't think it is possible.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+1

Autologous Rib Cartilage to Achieve Desired Result

If there is not adequate septal or ear cartilage, I will use rib cartilage rather than synthetic materials where there is more risk of infection or graft movement. Your expectations are realistic and I support your decision to use the rib cartilage.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Nasal Dorsal Augmentation

Hi, Every surgeon has his/her own technique for dorsal augmentation. Some use rib cartilage other use synthetic materials. The most important choice is to choose a surgeon that can deliver the results you want no matter what kind of implant is used. Its more about the surgeon than the implant material. So make sure you see many before and afters and are happy with the results. Best, Dr. S
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Rib cartilage to build up Asian bridge

Rib cartilage is a very good option to acheive significant augmentation to the bridge and tip like you desire. It may be difficult to achieve the exact level of improvement you want depending on your anatomy and skin quality. An examination would allow for a better assessment of what level of augmentation is possible.
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Rib graft for dorsal onlay

Rib cartilage grafts are an excellent choice for dorsal augmentation although they can warp a bit. It would be difficult to say whether or not your skin would accomodate such tip projection of not without an exam.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Will an Autologous Rib Cartilage Graft Help Achieve Desired Results?

You have a foreshortened nose with a de-projected nasal tip. I do not believe these enhanced results are reasonable or achieveable with Rhinoplasty. Rib gratfs, IMHO, have the problem of dissolving unevenly over the years and for that reason, I use straight silastic dorsal gratfs to build up the nasal bridge. Conchal cartilage ear grafts are the best, IMO for building up the nasal tip. This is the reason, I tell prospective patients for Rhinoplasty and plastic and... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Will rib graft help?

You appear to be looking for significant augmentation so a rib graft is a great way to go. Your simulation though may be overly optimistic. Your skin envelope may not stretch enough to achieve the shape and look you are trying for. You will get major change but don't be completely fixated on the picture as a guaranteed result.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon
+1

Rhinoplasty and rib graft

Hello, You have asked a very interesting question. Thank you for the images as it makes a realistic discussion a bit more attainable. You have taken the right stem in becoming educated about the desired procedure as it will allow you to ask the right questions during a consultation. Just as important, researching general opinion about your question may make it easier to receive a surgeon’s recommendations regarding your specific anatomy. There... more
Christopher Kolstad, MD

San Diego Facial Plastic Surgeon
+1

Rib Graft vs Synthetic Implant For Short Nose

Your pictures and predictive imaging illustrate two important points about your upcoming augmentative rhinoplasty. Only use your own natural rib graft when you are attempting such significant augmentation. Large amounts of synthetic material which places the nose skin under tension ia a recipe for complications down the road. Secondly, you need to temper the magnitude of the result. That amount of augmentation is not possible in a single procedure with a rib graft or even a synthetic... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon
+1

Asian rhinoplasty-implants or your own cartilage.

Asian rhinoplasty can be done with rib or septal and ear cartilage. I think either is fine for you since you need a lot of height to get that result. Don't use synthetic material since it can get infected.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Rib cartilage for rhinoplasty

You need significant augmentation. This can only be achieved with synthetic material or rib cartilage. Using your own is a great choice. Make sure the surgeon uses a mini-sliding incision for the rib graft.
David Alessi, MD

Beverly Hills Facial Plastic Surgeon
+1

Rib Cartilage for a Rhinoplasty

It looks like using your own rib cartilage is a reasonable plan. However, getting the result you show in the pictures may be a challenge depending on your skin tightness and underlying nose cartilage.
Karol A. Gutowski, MD

Chicago Plastic Surgeon

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