When Did E.N.T.'s Start Doing Rib Cartilage Harvesting for Revision Rhinoplasty?

  Both facial plastic surgeons and plastic surgeons perform rib grafts for nasal reconstruction.  Its very important to go to reconstructive/ Cosmetic rhinoplasty specialist who has extensive experience in noses.  Rib grafts are not used very often unless there is  reconstructive needs  that  are too extensive for nasal and  ear cartilage

The term ENT is a sort of slang for Otolaryngologist-Head and Neck Surgery, a regional surgical specialty of the head and neck.  Harvesting rib grafts is a basic technique for head and neck reconstruction, as it is for facial plastic surgery.  As for facial plastic surgery, the major influence on many techniques in modern plastic surgery was an Otolaryngologist named Sir Harold Delf Gillies.  Therefore, one could say that facial plastic surgeons (who are generally Otolaryngologists) "start" doing rib grafts when they start their training, just as general plastic surgeons do.  As far as rhinoplasty goes, a well trained and experienced facial plastic surgeon or plastic surgeon should suit your needs

First lets get the definitions straight.  ENTs are not Facial Plastic Surgeons but Facial Plastic Surgeons 95% of the time are also ENTs.  Regardless both ENTs and Facial Plastic Surgeons have done Rhinoplasties for centuries.  In fact the very first Closed Rhinoplasty was done by an ENT surgeon.  The first Open Rhinoplasty was done by an Orthopedic Surgeon.  ENTs do major facial reconstructions.  They remove large tumors and cancers from the face creating gigantic holes then reconstruct them with bone, cartilage and soft tissue from various parts of the body including skull, scapula, hip or ribs.  These are ENTs we are talking about.  Facial Plastic Surgeons have even additional training beyond their training in ENT but its not necessary.  ENTs are certified by the ABMS (the same Parent Board that certifies Plastic Surgeons) to do all this major reconstruction so a revision rhinoplasty with rib cartilage is minor in the greater scheme of an ENT's training and practice.  In fact the first FACE TRANSPLANT in the United States was performed in Cleveland Clinic by a Facial Plastic Surgeon with an ENT background.  

 

With all this said, Plastic Surgeons, ENTs and Facial Plastic Surgeons (all 3) are certified and capable of major facial and nose surgery using rib cartilage but each individual surgeon will have a different training and comfort level.  Some ENTs will do better nose jobs than some Plastic Surgeons and some Plastic Surgeons will do better nose jobs than some ENTs.  It just is what it is despite the marketing hype you may hear online or by some doctors.  All three specialties are highly trained and qualified to do this surgery but you have to judge each individual surgeon.  Just remember, Michael Jackson's surgeon was the Head of the Greater Los Angeles Plastic Surgery Society and he was an experienced Plastic Surgeon, not an ENT!