What will happen to nosetip if rib graft cartilage is removed? Reverse rib cartilage revision rhinoplasty (Photo)

If the rib graft supports the tip its removal will result in a deprojected tip which will be more round and less defined. The question is why is it necessary to remove the rib graft?Is it infected?Fat grafting will give projection but the tip will not be defined - it will remain bulbous and blunted. Cartilage from the ear is an alternative but a careful clinical assessment needs to be made first.

Based on your profile photo, you appear to have a pleasing nasal appearance so it’s not clear why you want to remove cartilage grafting material. In general, revision rhinoplasty is more difficult when there is extensive cartilage grafting. Consider Re asking your question with goals you would like to achieve. Hope this helps! Dr Joseph

Good Afternoon! If you remove rib cartilage and replace it with fat injections or soft tissue, the nose would likely lose a substantial amount of its form. Both fat and soft tissue aren't used for support. Rib cartilage is strong and provides excellent structure to keep the nose in an ideal position. Ear cartilage is softer and can be used as a replacement option - though, it's not ideal. I would advise against total removal of cartilage. Improving the graft shape, size, and orientation are better choices. Hope this helps!