Asian rhinoplasty using rib cartilage
As you have noted, Asian rhinoplasty using tissue from your own body (autologous grafts) will provide the safest and most permanent results. For dorsal augmentation, a well-executed DCF graft will provide more natural appearing contours without the risk of warping of an en bloc cartilage rib graft.
Depending on how high you intend to build your bridge, you may benefit from using ear or rib cartilage. To prevent warping of rib cartilage, it needs to be specially prepared and placed. Please consult with a board certified specialist who can assist you with achieving the results you seek. 3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
Rib vs Ear Cartilage for Asian Rhinoplasty
There does appear to be enough ear cartilage to augment your bridge. An experienced surgeon will be able to evaluate your needs and make recommendations. Over the past 35 years I've rarely used rib cartilage because it is more difficult to harvest, can leave an unfavorable scar, more significant complications are possible.
Augmentation of the Bridge in Asian Rhinoplasty
Asian rhinoplasty can be an excellent way to improve the contour and shape of your nose.
Many Asian patients, such as yourself, need significant augmentation of the nasal bridge. There are several options for accomplishing this, including:
1. Autogenous grafts such as cartilage, fascia, and bone
2. Alloplastic implants such as silicone or Gore-Tex
3. Homologous materials such as irradiated rib and acellularized dermal matrix.
Each of these options has advantages, disadvantages, limitations, and risks.
Please see an experienced, Board Certified Plastic Surgeon who is very experienced with Asian rhinoplasty to discuss your concerns.
Larry Fan, MD
Autologous tissue is preferable to an implant. Ideally I try to use septum first before rib or ear cartilage
Rib cartilage graft and a rhinoplasty
Rib cartilage can warp over time but it is preferable to the use of a silicone implant in my opinion.
Asian rhinoplasty using ear vs rib cartilage.
Asian rhinoplasty using ear vs rib cartilage. In more than35 years of doing Asian rhinoplasty I have never used rib cartilage (more expensive and painful and leaves a scar). I have used a combination of ear and septal cartilage as well as thick soft tissue.
Rib cartilage is a good option if you are willing to accept the harvest scar on your chest, frequently this can be done with an incision location similar to a breast augmentation.