Cartilage from Another Person in Rhinoplasty?

asked 8 months ago by Zoya85 in Croatia
Latest answer by Anil R. Shah, MD
Question viewed 169 times
Tags: cartilage, donor

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

6 answers to Cartilage from Another Person in Rhinoplasty?

Cartilage from Another Person in Rhinoplasty?

I sincerely hope that this is a joke. I have never heard anything more blatantly absurd than those statements. You can not use another persons tissue in your body without causing a serious and possibly life threatening rejection. Run, do not walk away from this person and please see a qualified Rhinoplasty surgeon for a second opinion. If the surgeon was talking about irradiated, banked, donated cartilage this is another story as radiation has be applied to the... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Which cartilage is better, your own or from another person?

Your own cartilage is better than cartilage from another person (safe to say we are talking about irradiated rib). Why is your own cartilage better? 1. Your own cartilage has living cartilage cells called chondrocytes which will stay alive when moved from one area of the body to another. These chondrocytes get their blood supply and nourishment from the surrounding tissues. You can "bank" cartilage behind the head and it will stay alive if necessary.... more

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

Using another person's cartilage for revision rhinoplasty

I've never heard that a patient's own cartilage is worse than cartilage from someone else. Some surgeon's will use cadaver rib cartilage that has been processed for use in another patient, though this is usually only used if the patient's own cartilage is no longer available (from prior surgery).

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Your own cartilage is best. Irradiated rib is okay, too.

It's complete nonsense to claim that one's own cartilage is inferior to irradiated cadaver cartilage (the only other source of cartilage for the nose outside your own tissues). Ideally, we use the patient's own septal cartilage. It's strong, living, and completely bio-compatible, of course. Ear cartilage is okay, but has its drawbacks in terms of quantity (limited), shape (it's curvy), and strength (it's elastic cartilage, not hyaline). In the "cartilage... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Cartilage in revision rhinoplasty

Not all cartilage is the same, and it depends how the cartilage will be used. For structural support septal cartilage would be excellent, for contouring of filling a defect ear cartilage would be an acceptable choice. If not enough cartilage is available from your own body, because it was already removed during a previous surgery, or not enough is availabl, then your choices would be to use rib cartilage. some surgeons prefer to use the patient's own rib cartilage, while others prefer to... more

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com