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Question Regarding Rhinoplasty to Raise Nose Bridge?

From what I've read, the options to raise the nose bridge are either an implant or using the patients' cartilage from either the nose, behind the ear, or rib area. What I'm curious about is, when using cartilage, does it eventually turn to bone? How does it feel when it's healed? Also, aside from the tip of the nose and the nostrils, are there other areas of the nose that cartilage can be taken from?

Doctor Answers (8)

Nasal bridge augmentation grafting material

+1

Grafted cartilage during rhinoplasty normally stays as cartilage rather than turning into bone.

Cartilage is still rather firm and being placed under the nasal skin it doesn't really feel any different than bone.

For bridge augmentation the only place in the nose where cartilage can be harvested from is the septum. Like you mentioned, the ear or rib are other non-nasal sources of cartilage as well.

You can read more about nasal bridge augmentation at my web reference link below.

Web reference: http://www.rhinoplastyinseattle.com/rhinoplasty-treatments/bridge-augmentation

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Augmentation of the nasal bridge

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Augmentation of the nasal bridge is usually accomplished with patient's own nasal cartilage first. If there is simply not enough nasal cartilage present, then the ear cartilage can be considered. Nasal and ear cartilage should not become ossified with time. Rib cartilage can become hard, stiff, and ossified like bone which is a natural healing process. For many examples please see link below to our rhinoplasty total gallery

Web reference: http://www.seattlefacial.com/progallery/lowbridge_photos06.html

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Question Regarding Rhinoplasty to Raise Nose Bridge?

+1

The cartilage should not become bone. The cartilage can be taken from the bridge and the septum as well. The cartilage can be weakened and made to feel softer.

Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Web reference: http://www.hughesplasticsurgery.com/Rhinoplasty.php

Los Angeles Plastic Surgeon
5.0 out of 5 stars 147 reviews

Augmentation rhinoplasty

+1

Cartilage does not turn into bone but may calcify and harden with time. Usually, the cartilage graft feels softer than the underlying bone, but still feels firm. Cartilage that is taken from the nose is usually taken from the septum or midline of the nose. The septum can yield a pretty large flat piece of cartilage but lacks the height that is usually needed for bridge augmentation. If septum cartilage is used, it is often diced and placed into a rolled piece of fascia (muscle lining) like a sausage. This is then inserted underneath the nasal skin. Rib cartilage is a graft I like to use and has less tendency to lose height with time. The graft can warp (or bend) and needs to be properly handled before inserting it. If not camouflaged appropriately you will be able to see the edges.

Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Rhinoplasty to Augment the Bridge

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Cartilage used to augment the bridge will always remain cartilage - it will not become a different tissue. After the nose has healed the graft will not be palpable. Any cartilage removed to reduce the size of the nose can be incorporated into graft.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Bridge

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You have mentioned the areas that cartilalge can be taken from to build the dorsum. The three major areas are the septum, ear and rib. One can also use irradiated rib cartilage taken from a cadaver that acts just like your own cartilage. I have also used bone taken from the hip (painful) or outer table of the skull. All act and feel like your natural dorsum if done properly.

Dr. Corbin

Web reference: http://www.noseexpert.com

Brea Plastic Surgeon
5.0 out of 5 stars 12 reviews

Nasal septal cartilage is the most common source of cartilage.

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Nasal septal cartilage is the most common source of cartilage. For 35 years I have used this without problems. Rib cartilage is painful and MUCH more expensive.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Raising the bridge of the nose

+1

There are no one best way to do this. Each surgeon may use different materials.

The key is to find a surgeon that can achieve what you want and have a low rate of complications with the material used.

Personally, I prefer donor rib cartilage. It can be sculpted to each patient's surgery, it incorporates well, and has a very low rate of infection.

Any type of material used will be palpable under the skin, but you will not feel it unless you touch it.

Houston Facial Plastic Surgeon
4.5 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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