What's the Possibility of Getting a Successful Revision on a Rib Graft Rhinoplasty Revision. My Situation is Dire.

asked 1 year ago by q8madam in Kuwait
Latest answer by Ivan Wayne, MD
Question viewed 233 times
Tags: bone graft, rib graft

5 answers to What's the Possibility of Getting a Successful Revision on a Rib Graft Rhinoplasty Revision. My Situation is Dire.

Rib grafts are a no go for revision Rhinoplasty

IMHO, after performing Rhinoplasty and revision Rhinoplasty for over 20 years, rib grafts, bone grafts and banked, irradiated cartilage all historically dissolve unevenly over the years. Do a medline article search on irregular absorption of rib grafts for a more detailed picture but I do not use these grafts in Rhinoplasty and have had to remove partially dissolved grafts of rib, bone and banked cartilage and replaced them with stable, more reliable straight silastic nasal... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Rib grafts in revision rhinoplasty are safe and reliable.

You do not elaborate on why your situation is dire. You also did not include photos or a history describing your situation. I am a big fan of using rib grafts when structure is missing from trauma or a prior rhinoplasty and there is not enough septal cartilage to use.I find the strong straight pieces of rib to be excellent for rebuilding the bridge of the nose that has collapsed and formed an inverted "V" deformity after a rhinoplasty. We rarely see complications with the use of... more

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon

Rib is excellent for rhinoplasty but has strong internal stresses

Rib cartilage makes an excellent building material for noses but must be indicated--meaning that you have no better donor sites. Rib also varies with patient age. In young patients (under 40), rib is white and elastic, so it can curl after surgery and may need revision. Over 40, it begins to get calcified and therefore keeps its surgical shape more easily. I am not sure what "dire" means, but if your nose has healed from the last surgery, find a surgeon who can show you... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

Rib cartilage can be an excellent option

Depending on your specific needs your own rib cartilage can provide a great source of grafting material that can have excellent long term results when used properly. There are several nuances to carving and using the cartilage that help prevent some of the common problems of warping and resorption. Consult with a few rhinoplasty experts who have experience using rib and performing revision rhinoplasty.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Rib grafts often the best choice for dire situations

Many times rib grafts are exactly the best solution for noses with lots of problems. You need to find a surgeon with experience in both revision rhinoplasty and rib grafts

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

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