Revision Rhinoplasty: Q&A
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Why Might a Doctor Not Want to Use Ear or Rib Cartilage?
I am going for a revision rhinoplasty and my doctor is telling me the best he can do if I have enough cartilage in my nose. He is against ear or rib cartilage as he states the nose will be unnatural and stiff. He is able to create a better nose if he were to use ear or rib cartilage if he really had to right? What is the difference between a revision done with cartilage from the nose verses cartilage from ear or rib?
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12 Doctor Answers |
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Sharpie
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Choice of graft
Without seeing your photos it is difficult to comment. Although most surgeons like using septal cartilage as a graft there are many situations where septal cartilage is actually not the best option. An experienced revision surgeon should keep all options open.
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Cartilage Grafting in Revision Rhinoplasty
The preferred source for cartilage in revision rhinoplasty is highly dependent on the correction needed. Septal, auricular and rib are all the first choice for different reconstructive problems. For simple revisions, septal cartilage is best. I also prefer it for applications where I want a straight piece of cartilage. For areas where I want a curved graft, such as the nasal tip, I prefer ear cartilage. If a large volume graft is necessary, rib is preferred....
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Cartilage donor sites for grafts with revision rhinoplasty (nose job)
Replacing" like with like" is a generally desireable goal in plastic surgery. This means it is best to use local tissues that are most similar to the area being reconstructed. The cartilage of the nose is unique in its thickness and pliability. The ear and the rib are significantly thicker and less pliable than the native nose cartilage making them more difficult to shape or mold. Furthermore, it requires a distant and separate donor site each associated with its own...
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Cartilage grafts for revision rhinoplasty
If your surgeon is truly "against ear or rib cartilage" then I suspect it's because he isn't experienced in using them. That's a very worrisome sign. No one who does a lot of rhinoplasty is categorically against using a patient's own tissue. While septal cartilage is best, ear and rib also have important uses in the nose.
All the best,
--DCP
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Cartilage Used in Revision Rhinoplasty
Septal Cartilage is my first choice in rhinoplasty surgery, followed by cartilage from the ear and ribs. Rib cartilage is my last choice because it is more difficult to harvest. Make sure your surgeon does a lot of revision rhinoplasties.
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Secondary rhinoplasty
Consult another BOARD CERTIFIED PLASTIC SURGEON
Ear and Rib cartilage grafts are used extensively with good results
Baltimore Plastic Surgeon
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Nose reconstruction
Revisoin rhinoplasty often incorporates cartilage grafts if possible. These can often be found in the septum but sometimes require ear or rib cartilage. Sometimes surgeons use other products to avoid the complications associated with harvesting the cartilage.
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Cartilage for Revision Rhinoplasty
Hi,
Cartilage grafts are often used in revision rhinoplasty. If available, the best cartilage to use is septal cartilage followed by ear and rib cartilage. Ear cartilage is softer and more malleable than septal cartilage but is a good second option. Rib cartilage is the hardest and can be used as well but needs more carving and if not shaped properly it can show through the skin and feel hard.
Best,
Dr. S.
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Cartilage options for revision rhinoplasty
The septum is the first choice for use in rhinoplasty for several reasons, however in revision rhinoplasty the septum may be unavailable or insufficient. Revision rhinoplasty is often a more difficult procedure - the surgeon should have the skills necessary to do the best job. Sometimes that requires use of ear or rib cartilage.
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Best Cartilage Graft Sources for Nose Surgery
Regarding: "Why Might a Doctor Not Want to Use Ear or Rib Cartilage?
I am going for a revision rhinoplasty and my doctor is telling me the best he can do if I have enough cartilage in my nose. He is against ear or rib cartilage as he states the nose will be unnatural and stiff. He is able to create a better nose if he were to use ear or rib cartilage if he really had to right? What is the difference between a revision done with cartilage from the nose verses cartilage from ear or...
more
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