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Is Ear Cartilage Used in the Nose Soft to Touch?

asked 8 months ago by shazza123 in london
Latest answer by William Portuese, MD
Question viewed 200 times
Tags: nose tip, cartilage

I had a rhinoplasty and it did not turn out how I had hoped for.My tip is now pinched and pointy,something which upsets me.I have been told I will need grafts to fill my tip out and ear will probably be the area of choice.I am just worried that my tip will lose its suppleness.I have spoken to one person who said that their nose remained soft even with ear cartilage grafts and mobile.Is that possible.?I dread to think of the possiblity I will end up with an unnatural stiff nose on my face.

7 answers to Is Ear Cartilage Used in the Nose Soft to Touch?

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Is Ear Cartilage Used in the Nose Soft to Touch?

Is Ear Cartilage Used in the Nose Soft to Touch? I have performed Rhinoplasty and Revision Rhinoplasty for over 20 years and IMHO, ear cartilage is the very best grafting material for the nasal tip. Of all other grafts, IMO, ear cartilage will be the best option for a soft, yet reliable tip graft. I have used it many times and continue to do so.
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Ear cartilage in nose is not soft to touch

Ear cartilage is not the same type of cartilage as nose cartilage. Ear cartilage is stiffer than nasal cartilage, so when used in the nose it can lead to a wood-like feel to the nose. This is especially accentuated in the tip because of the soft tissues.
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"Pinched Tip"

Much of my practice is dedicated to revisional rhinoplasty. Although a "pinched" nasal tip can be corrected with ear cartilage, I have had success in select patients without the use of any cartilage. My approach involves a "closed technique", meaning no incisions to the outside of the nose. I have found it helpful to also use the patient's photos (taken at the time of consultation), and with the use of imaging software, to show the patient what... more
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Ear cartilage

Ear cartilage works beautifully in the nasal tip. It has convex shape and is soft and pliable. don't worry about it.
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Pointy tip after Revision Rhinoplasty

Ear cartilage is one option. Often temporalis fascia (which is softer) can also be used, but swelling may take awhile to resolve in either case. If done well, with contoured edges, any graft should look and feel natural over time.
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Ear Cartilage in revision Rhinoplasty

For patients who have had prior surgery, adequate nasal cartilage may not be available to provide either form or structure in further procedures. Ear cartilage works well, and can be sculpted with softer edges to help rebuild the tip area. This is an excellent long-term graft, and has stood the test of time. The donor defect of the ear is not visible, but the area may feel softer to touch.
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Revising tip with ear cartilage

It sounds like an addition of cartilage to your tip is necessary. I prefer ear cartilage as well. The tip of the nose will be stiff for several months but will eventually be as soft as it is now. I would recommend an open tip rhinoplasty to get precise placement of the tip elements. Wishing you All the best, Talmage J. Raine MD FACS

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