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2 Hour In-Office Rib Graft Removal Using Open Technique Under Local Anesthesia

asked 7 months ago by RibCartilageNose
Latest answer by Houtan Chaboki, MD
Question viewed 191 times
Tags: 10 months post-op, graft, local anesthesia, opinion, removal

I had a Rib Revision Rhinoplasty using a columellar strut, dorsal graft, and spreader grafts in January 2011. The procedure has been very intense and has deformed my chest and left my nose hard, inflexible and painful. I requested a refund as well as my medical records, both of which my physician has refused to give me. My physician has countered my request by offering to remove the grafts in a 2 hour in-office procedure under local anest, using the open technique. Advice on how to proceed?

4 answers to 2 Hour In-Office Rib Graft Removal Using Open Technique Under Local Anesthesia

+1

Revision rhinoplasty anesthesia options

Anesthesia options for rhinoplasty vary generally among strict local, IV sedation, or general anesthesia. The decision on anesthesia type largely depends on the nature of the procedure, surgeon preference, and patient preference. Most plastic surgeon perform all rhinoplasty via general anesthesia or IV sedation. Minor procedures or revisions may be performed in the office with just local anesthesia. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Rib Graft Removal

You raise several questions. First, all patients like youself have a right to a copy of their medical records; .Second, it is possible to remove rib cartilage grafts under local anesthesia; Third, I feel it is too soon to remove the grafts; Fourth, I feel getting a second opinion may be helpful.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Rib revision rhinoplasty

Typically, rib grafts placed in the nose will soften over time. It is too early in my opinion to remove those grafts and I would wait at least 18 months before considering revising them or removing them. Patience can be difficult but it probably will improve a lot over time.
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Rib graft removal

After such an extensive procedure I would recommend you wait 24 months before doing anything. You may yet get more pliability and softening of your nose.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

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