Best Cartilage for Revision Rhinoplasty?

Hi. My name is Kazim and I'm from England and my problem is my nose. I had a nose job last year and the doctor did not do a good job my nose tip is turned up.

I need to know which cartilage is better for nose revision, rib or ear? How much it will cost to get my nose a little straighter?

Please help.

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cartilage nose upturned costs revision straighten tip

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9 Doctor Answers | Asked by kazim in england

Doctor Answers (9)
Community Comments (0)

Counter-rotation and projection of the tip during revision rhinoplasty

Picture quality aside, your nose appears over-rotated (turned up) and under-projected (too close to your face). In order to counter-rotate (turn down) and project (make taller) your tip, ear cartilage is going to be too soft and probably inadequate in quantity to achieve that. If I had to make a recommendation based on the single view photo above, rib is the superior option for your revision. Cost will depend on the surgeon.

Revision Rhinoplasty

Wow, this is a tough photo to see your nose thoroughly. The nasal tip appears over-rotated but I can't sort anything else about the size and or shape and would need better photos of the base, side and front of the nose to make further recommendations.

Rib cartilage for thick skin

The reality is that the best cartilage for a rhinoplasty revision depends on the nose and the problem that is trying to be addressed. Thick skin calls for stronger cartilage so I like rib in these cases, but septum is always great if it is there.

Jay Calvert, MD

20 reviews

Beverly Hills Plastic Surgeon

Secondary Rhinoplasty

You need to communicate with your surgeon so that both you and the surgeon understand what you want. Secondary rhinoplasty is more difficult than primary rhinoplasty. As for the cartilage graft source will depend on what is needed to be done. The nasal septum is the best and easiest source if it was not worked on or removed, it can be used for the dorsum, the tip or both. Ear cartilage is used for tip work mainly. Rib cartilage grafts are used to build the dorsum of the nose up, in very... more

Cartilage for Revision Rhinoplasty depends on what you need

I agree with some of the previous doctors. Septal cartilage is usually sufficient for revision...the key is you need to have some left. In your particular case if you do not have enough cartilage in your nose it would seem that rib cartilage would be your best choice to turn your nose back down. Cost varies greatly...but more important is experience. Meet with several doctors and make sure you see photos of noses (like yours) and the results these doctors can achieve.

Cartilage for Revision Rhinoplasty

Hi Kazim, The cartilage that is best for revision rhinoplasty is really determined by what needs to be done, and what cartilage is available in the nose itself. My preferred choice for areas that require straight flat pieces of cartilage is the septum. If you have any septal cartilage left after your primary procedure it can be ideal for repair of deviations in the bridge, lengthening the tip, or de-rotating an over-rotated (up-turned) nose. If there is not enough left in the septum,... more

Cartilage graft and donor site options for revision rhinoplasty (nose job)

The best type of cartilage for a rhinoplasty is septal cartilage if you have enough. If this is inadequate, then you should consider ear carilage for the tip and rib cartilage for the nasal bridge.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Cartilage choices for Revision Rhinoplasty

If there is adequate cartilage left from the septum, this would be the usual preferred material. For lengthening a nose that's been too reduced (which the photo seems to suggest), a cap graft of ear cartilage is possible, but its inherent curvatures and elastic properties tend to be less than ideal for more significant revisions. For those cases, rib is very good, either harvested from the patient or as irradiated rib from a cadaver source. Care must be taken in either case not to try to... more

For revision rhinoplasty, rib vs. ear cartilage depends on where its used

Ear cartilage is easier to obtain and has less discomfort than rib cartilage. However, it is a different type of cartilage. Ear cartilage is softer and curved. Rib cartilage is stronger and more predictably carved. So, the choice really depends on what needs to be done. If you need nasal lengthening for a very high tip or a collapsed bridge rib is necessary. Otherwise ear may be sufficient. Also, don't forget about cartilage from the septum. That is also good and strong. But in revision... more