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

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.

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 appropriate options for you. You raise several issues with your question that cannot be adequately addressed in these forums. As other surgeons have already stated, typical rhinoplasty swelling after rib cartilage grafts may last much longer as compared to other cartilage grafts. Waiting longer before making a decision on revision rhinoplasty may be appropriate. Best of luck.

Dr. Chaboki

 

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.