Is Graft Removal Hard and Can it be Done with Local Anesthesia??

my grafts from rib grafts were sutured in my nose... would it be "Easy" or hard to remove it? could it be gone local anesthesia? can it be done opened or closeD?

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6 Doctor Answers | Asked by ace123a in MA

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Rib graft removal should be done under general anesthesia

It is very difficult to go in and remove rib grafts from the nose since they get tissue ingrowth and are solidified with the healing process inside the nose. This cannot be done under local anesthesia. It can be done through a closed rhinoplasty technique under general anesthesia and since it is a revision, it is always more difficult than the primary rhinoplasty.

Graft removal in nose

It is usually better for y out o go to your original surgeon to have the grafts removed. He/She would lnwo exactly how they were placed. Usually the grafts if sewn in are best removed through an open approach. Usually with sedation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Is graft removal hard?

If you are still working with your original surgeon he/she is in the best position to answer this for you. Your original surgeon has the best knowledge of what was done and what the surgical obstacles are that are likely to be encountered. When I approach a revision on a nose that was operated on by someone else I am always thinking about what I may need to do if what I find is not what I was expecting. If that occurs will I be able to do it in a less controlled local anesthesia situation?... more

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Is Graft Removal Hard and Can it be Done with Local Anesthesia??

The real question is "do you want the grafts removed under a local anesthesia"? Probably not. The real issues with having a local anesthesia for any Rhinoplasty procedure are the following: 1. The nose can bleed profusely and if that occurs without airway support and protection, you could wind up miserable, choking on the blood and in the worst case scenario, with a pneumonia from the aspirated blood. 2. Local anesthesia only numbs the pain nerves and you'll... more

Is Graft Removal Hard and Can it be Done with Local Anesthesia??

Hi, Most likely you will need an open rhinoplasty and it can be done under local with a little sedaiton. The difficulty of removal can only be determined during the surgery. It all depends on how it was put in and how long its been there. Best. Dr.S.

Revision of grafts after Rhinoplasty

Revision or removal of grafts can be performed after Rhinoplasty. As to weather it can be accomplished under local that depends of where and how the grafts were placed and secured.