Is rib the best way to regain structure of the nose is most tissue has been taken off? Would ear be sufficient or too weak for structure & various grafts in general?
Dent & Breathing Issues Caused by Technique?
Doctor Answers 3
Rib cartilage is an excellent choice for revision rhinoplasty
I have a very low threshold for using rib cartilage during revision rhinoplasty operations. Although this is certainly case dependent, rib cartilage has strength and abundance that is unrivaled by septal cartilage and ear cartilage. If you think you may need a rib graft, make sure that you go see a rhinoplasty surgeon who is well experienced with their use.
Graft Sources for Structural Rhinoplasty
The source of grafting material for reconstructing the structure of the nose is dependent upon the degree of lost support. As a general rule, ear and septal cartilage are sufficient in most cases. If slightly more support is needed, synthetic materials can be used. For major structural problems, rib cartilage is an excellent source.
Your best bet is to obtain several opinions from plastic surgeons that specialize in revision rhinoplasty. This way, you will be able to make the most informed decision for your surgery.
Each situation is different depending on what is needed and what has been removed. Most revisions can be handled with residual septum and ear cartilage especially now with the aid of PDS foil. Usually only major reconstructions need the volume and strength of rib.