Is it Difficult to Remove/Trim a Rhinoplasty Graft?

asked 5 months ago by ace123a in MA
Latest answer by William Portuese, MD
Question viewed 156 times
Tags: graft, removal

I had revision rhino with rib grafts.. now i think my nose is too large... so would it be "Easy" to remove/trim the grafts? can it be done under local? or is it a difficult procedure to trim/remove to modify the nose and make it smaller? how complex is graft trimming/removal (rib grafts)

5 answers to Is it Difficult to Remove/Trim a Rhinoplasty Graft?

Is it Difficult to Remove/Trim a Rhinoplasty Graft?

The reality is that Revision Rhinoplasty is always more complicated and difficult than a primary one because of tissue scarring and disruption from the previous surgery(s). Aesthetically speaking, I don't use rib cartilage/bone for building up the nasal bridge as it has a tendency to dissolve unevenly over the years IMO. The graft can be shaped or better still replaced with a reliable, straight silastic dorsal implant however, the exposure...or getting to the implant... more

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

drfrancispalmer.com

Remove/trim rib graft from revision rhinoplasty is difficult.

Removing and trimming a rib graft through a tertiary rhinoplasty is no easy feat. It is extremely complicated and must be done under general anesthesia, not local anesthesia. Rib grafts tend to get tissue ingrowth making them difficult to remove, which is why it requires a major revision rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Removing/Trimming Nasal Rib Grafts

Your rib graft can be revised, but it would be best to do this with at least some sedation in addition to the local anesthesia.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

I would recommend waiting a minimum of one year for any revision procedure

It is difficult to make any suggestions without examining you or seeing photographsy. I would recommend waiting a minimum of one year following you initial procedure for any revision. Have you let your surgeon know about your concerns. If you are not satisfied seek a second opinion. Make appointments for consultations with multiple surgeons. Look at lots of before and after photos. Board certification by The American Board of Facial Plastic and... more

Gregory Pippin, MD
New Orleans Facial Plastic Surgeon

www.pippinmd.com

Revision Rhinoplasty

Revision Rhinoplastyis always more difficult than primary rhinoplasty. To trim a rib graft, depends on how long it has been since the graft,Is the graft mobile, or stuck to the bone?Complete removal will cause major deformity. Triming is possible. I prefer rhinoplasty under general anesthesia.

Samir Shureih, MD
Baltimore Plastic Surgeon

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Is it Difficult to Remove/Trim a Rhinoplasty Graft?