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Options for Cartilage Grafts for Rhinoplasty

asked 2 years ago by scaryone in ca
Latest answer by Sigmund L. Sattenspiel, MD
Question viewed 288 times
Tags: nose

Where you get the cartilages to build the bridge of the nose and the tip in a rhinoplasty? how do you shape the cartilage to make the nose look how the patient wants?

13 answers to Options for Cartilage Grafts for Rhinoplasty

Cartilage grafts in rhinoplasty usually come from the septum.

The cartilage is shaped by carving it with a blade. The most important thing is the brain of the surgeon so you don't end up cartilage showing thru the skin. See an experienced rhinoplasty surgeon to get the best results.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Cartilage for the nasal tip in rhinoplasty

In primary (first-time) rhinoplasty, building up the nasal tip may be done any of a number of ways. Yes, they all involve the use of cartilage, but in some cases it may not necessarily require the use of cartilage 'grafts', which are pieces taken from another area and moved to the nasal tip. I believe you are asking what we would use in the latter case. If necessary, cartilage may be taken from the nasal septum itself, which is nice because no more visible external incisions are used. ... more

Sam Most, MD
Bay Area Facial Plastic Surgeon

www.drmost.com

Cartilage grafts for rhinoplasty

The best and most common cartilage grafts employed when needed inrhinoplasty are taken from the nasal septum and from the ears. Inspecial circumstances, when there are severe deformities related to previous surgery and/or trauma, and when there is no good residual nasal septal or ear cartilage remaining, grafts may be obtained from rib cartilage or from irradiated homograft bank cartilage. The cartilages are hand carved, shaped and sculpted to conform to the need and deformity of the nose... more

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Cartilage graft options for rhinoplasty

The best cartilage grafting for rhinoplasty is always taken first from the septum. This is the cartilaginous dividing line between the left nostril and the right nostril. If all of the cartilage in the septum has been depleted, the second best is ear cartilage. If the ear cartilage has been depleted and more cartilage grafting is needed, then a rib graft would be the third choice. The cartilage grafts are simply shaped with a knife and cutting board to make them appropriate size,... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Cartilage Grafts for Rhinoplasty

Cartilage grafts for augmentation rhinoplasty are taken from the nasal septum, the ear, or the ribs. The grafts are carved so they are not visible after surgery. Fascia grafts can also be used in the bridge depending on the location and severity of the depression.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Cartilage grafts in rhinoplasty [with video]

Your question is a good one. Cartilage is what makes up much of the structure of your nose, both aesthetically and functionally. When I perform rhinoplasty in Santa Barbara, I work to improve both the form and function of the nose. Often adjustment of the septum, the divider between the nostrils, can greatly improve the way the patient breathes. This septum is made largely of cartilage, and so when the problematic cartilage of the septum is removed, it can be... more

Adam David Lowenstein, MD
Santa Barbara Plastic Surgeon

Your nose can be reshaped with cartilage from your ear or rib

Hello - In order to build up the bridge of the nose or reshape the tip, cartilage can be borrowed from your ear or rib. The cartilage is then shaped with a knife and/or stitches to obtain the ideal shape needed for your nose.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Cartilage grafts for the nose

The most popular source for caritlage from the nose, in order of preference, are: the septum' the ear the rib Shaping is essentially accomplished through carving and sutures.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Rhinoplasty and Nasal Cartilage Grafts

Hi Scary, The cartilage for nasal grafts in rhinoplasty is obtained most commonly and preferrably from inside of your nose, the nasal septum. The second choice is your ear cartilage, and lastly rib cartilage. The grafts are carved by the rhinoplasty surgeon to the required shape and size. An experienced rhinoplasty surgeon knows how to construct, place, and secure nasal cartilage grafts to help their patient achieve their nasal cosmetic and functional goals. It is up to you to choose your... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

The best cartilage grafts for rhinoplasty are taken from the nasal septum

Grafts are often used to strengthen the tip of the nose, but rarely used on top of the tip unless the patient has thick skin. The best source for this graft is the nasal septum. We often remove cartilage from the nasal septum when performing a Septoplasty As long as a good supporting rim is left behind, the septal cartilage will not be missed. The cartilage is shaped by precise carving.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Cartilage grafting in rhinoplasty requires experience

The simple answer to your question of how do we shape cartilage is by using a scalpel. I don't know if that is what you actually mean but if you are wondering, 'How do we know how to shape a graft?' The answer is by experience. Rhinoplasty is very complicated and requires a lot of skill and experience. Best of luck

Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon

Cartilage grafts in rhinoplasty

In a primary rhinoplasty, most of the sculpting of the nasal tip is done by suturing cartilage together. Occasionally we add a little cartilage in one place or another to build up a particular area. We can harvest cartilage from a few different places, including the nasal septum, the ear, and even the ribs. Nasal septum is almost always our first choice. This is a procedure where we gauge our results as we work to achieve the best result possible for the patient. Best wishes, /nsn. more

Nina S. Naidu, MD
New York Plastic Surgeon

Cartilage grafts in rhinoplasty

Cartilage for the nose is usually taken, in order of preference, from: Septum: This is usually in good supply and can be quite strong. It is also in the operative field Ear: More limited in size and a little softer. It has a natural curve to it, so it is sometimes the best choice in a revision tip procedure. Rib: Obviously this is the most invasive site for harvest. Rib cartilage is usually reserved for revision procedures in which the nose essentially has to be reconstructed or for... more