Composite grafting for retracted nostrils?

 I have been told that I need composite grafts using ear cartilage and skin to lower my severely retracted nostrils (after 2 surgeries). This sounds like a scary procedure. Is it safe? Is this something most cosmetic surgeons can do or should I go to a reconstructive surgeon?

3 answers to “Composite grafting for retracted...”

A: Composite Grafts in the Nose

Richard W. Fleming, MD

Composite grafts, which include skin and cartilage, are frequently used for alar retraction. Don't have any cosmetic surgeon do the work; select an individual who is experienced in revision rhinoplasty.  You've already had two operations - try to make this your last.

A: Composite grafts work well.

David C. Pearson, MD

Actually, composite grafts (and yes, they are skin and cartilage, not mucosa and cartilage when used for this purpose) can work very well. But because retracted nostrils or alar notching are difficult to correct, the first step is an accurate diagnosis as to why the nostrils appear the way they do. If, after... more

A: Grafting is a good solution for retracted nostrils

Tanuj Nakra, MD

Dear Sara, Grafting cartilage and mucosal tissue to the alae can help with alar retraction (retracted nostrils).  The cartilage provides internal support for the nostrils and the mucosal graft allows the bottom edge of the nostril to move inferiorly (down.)  The harvest of cartilage and mucosa is not... more

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