How Often Do Cartilage Grafts Warp on Bridge of Nose?

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6 Doctor Answers | Asked by rubysue

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How Often Do Cartilage Grafts Warp on Bridge of Nose

There are a number of technical measures that can be employed to reduce warping of cartilage grafts over time. The involve: Where the graft comes from How it is carved How it is fixed to the rest of the nose Whether it is one piece of graft or Cartilage grafts on the bridge can produce very nice results

Sam Naficy, MD

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Seattle Facial Plastic Surgeon

www.seattleface.com

Cartilage Grafts in Rhinoplasty

When cartilage is used as a graft material, it's stability over time may depend on the size, shape, location, and source of a the graft. Many smaller graft that are well covered by soft tissue are stable and do not change much. For a larger graft that is more visible, even a light position shift or warp will be more visible. Whether a patient needs an additional surgery to correct a graft warp, shift or size change depends on how dramatic the change is... more

Rhinoplasty and nasal cartilage

I do not think anyone can answer your question because the warping can happen many years after the surgery. I am aware of cartilage graft to the nose placed around world war 2 whose warping became evident sometime in the 1960s. The photos were in a textbook of plastic surgery. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to... more

How Often Do Cartilage Grafts Warp on Bridge of Nose?

IMHO conchal cartilage and rib cartilage/bone grafts, on the nasal bridge, can dissolve unevenly with time and for that reason I have not used these for over 22 years. I prefer using a straight, silastic dorsal implant to build up the nasal bridge during Rhinoplasty. Be sure that the Rhinoplasty Surgeon, you choose, understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose and face.

Warping of cartilage grafts following rhinoplasty.

The incidence of cartilage grafts warping when used in rhinoplasty is directly related to three critical factors: 1. The source of the graft material. In general, rib cartilage warps with much greater frequency than ear cartilage. Nasal septal cartilage has the least tendency to warp. During surgery, specific technical factors in the carving of the grafts will minimize the risk of warping. Rib grafts to augment the nasal dorsum... more

Nasal cartilage graft

It is common for nasal cartilage grafts to warp. This is somewhat dependent on the size and type of graft i.e. septum vs ear vs rib cartilage. One way to decrease the warping is by chopping the graft into fine pieces and wrapping it in temporalis fascia. Donald R. Nunn MD Atlanta Plastic Surgeon.