Asian Rhinoplasty: Q&A
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How Safe is the Costal Cartilage Graft when Used During an Asian Rhinoplasty?
What can be done to speed up the healing?
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Asian Rhinoplasty and Safe
Hello,
Rib (costal) cartilage can be obtained in a very safe and controlled fashion. Complications can be an unacceptable linear scar along the rib cage, infection, and infrequently a pneumothorax (a tear in the lining of the lungs).
There are many options for augmenting the nasal dorsum, silastic and gortex implants, bone grafts, and cartilage from other sources, such as the ears or septum. I rarely consider a costal graft in primary rhinoplasty, unless there is a...
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Costal cartilage is safe if harvested and used by an experienced surgeon.
Costal cartilage is very safe if it is harvested and used by an experienced surgeon. It has a low infection and resorption rate, and easily carved, but has a tendency to warp.
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Costal cartilage for asian rhinoplasty
Costal cartilage is not often needed for asian rhinoplasty if you have septum and cartilage available in one ear. There is almost always enough tissue to rebuild the tip and bridge using these tissues alone. Costal cartilage would be a last resort if other sites are not available.
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Rib cartilage is safe for Asian rhinoplasty
Using rib cartilage is certainly a safe option for augmenting the bridge in Asian rhinoplasty.
Other cartilage-based options include using septal or ear cartilage, but these may not offer enough material or strength necessary for your case depending on your anatomy.
Maintaining a healthy diet, avoiding tobacco use and performing the prescribed incision line care all help to promote smooth healing.
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How Safe is the Costal Cartilage Graft when Used During an Asian Rhinoplasty?
While safe, IMHO of performing Rhinoplasty for over 20 years, costal cartilage has a tendency to dissolve unevenly over the years creating surface irregularities and nasal asymmetry. This also happens with costal bone, calvarial bone and banked cartilage/bone IMO. My preferred dorsal graft is a straight (not L-shaped that can erode through the skin over the nasal tip) silastic implant for any Rhinoplasty, Asian or otherwise.
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Costal Cartilage to Augment Asian Nose
Costal (rib) cartilage is safe to use to augment an Asian nose but I prefer to use septal and ear cartilage, if there is enough, because it is easier to harvest and is less painful for the patient. Many Asian patients use synthetic materials but I prefer to use their own tissue because there is less risk of post-op graft infection and movement.
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How safe is rib cartilage in Asian rhinoplasty?
Rib cartilage grafting is no less safe in Asian rhinoplasty then in any other ethnic group. Except for the 4-6 weeks of rib discomfort it is generally a very safe option. The major long term risk is warping or graft resorbtion and this is no different across ethnic groups.
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Rib cartilage graft to nose safety in Asians
Rib cartilage in the long term is the gold standard in nose grafting. Although it has potential complications involved in obtaining it which are not shared by using synthetic or cadaveric implants it has a much lower rate of infection, poor scarring and extrusion found with other implants. Asian nose skin is generally thicker and more forgiving to implants than western Caucasian skin.
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Cartilage grafts and rhinoplasty.
There are several areas which can be used as donor sites for cartilage grafting in rhinoplasty. I normally go to the septum first, then the ear and last rib. The first two choices cause far less discomfort.
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How Safe is the Costal Cartilage Graft when Used During an Asian Rhinoplasty?
In experienced hands, costal cartilage can be harvested safely and used safely as grafting material. Risks can include pneumothorax, bleeding, infection and warping of the graft, As with most rhinoplasty procedures, there is a healing period of at least a year and maybe longer in patients with thick skin or revision cases when using this type of cartilage graft,
Reston Facial Plastic Surgeon
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