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Can Smoking After Rib Cartilage Rhinoplasty Make the Grafts Disappear or Shrink?

asked 1 year ago by 7150anon in New York
Latest answer by Sam Naficy, MD
Question viewed 295 times
Tags: smoking

Please dear doctors I am losing sleep over this and really need professional answers to this question: 1 month ago I had revision rhinoplasty and the doctor used irridated rib cartilage grafts to make my nose bigger. My specific question is can SMOKING 2 WEEKS post-op make the grafts disappear or shrink in size?

3 answers to Can Smoking After Rib Cartilage Rhinoplasty Make the Grafts Disappear or Shrink?

+1

Irradiated rib

Smoking is not good for survival of any kind of graft. Irradiated rib cartilage can resorb (go away) over time in both non-smokers and smokers
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

Smoking after Revision Rhinoplasty

I will never condone smoking after any surgical procedure. Circulation, which is critical to the survival of any graft including irradiated rib cartilage, will be compromised with smoking. It is impossible to determine if this will alter your final result. I know it is difficult, but I strongly suggest you stop or at least decrease the nicotine exposure after investing so much time and money in your rhinoplasty surgeries.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Effect of Smoking on the longevity of irradiated Rib Cartilage in the nose

A few comments. The fact that you had undergone a Revision rhinoplasty clearly means that you were either unhappy with or that something did not go right with your first nose surgery. The fact that a graft of irradiated cartilage from a foreign donor had to be used means that you do not have sufficient cartilage in your body to act as suitable grafts. Once placed, you need EVERY SINGLE break to go in your direction for things to heal properly. Smoking greatly reduces blood flow through... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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