What is the Difference Between Septo-Rhinoplasty with Septal Cartilage Graft and Revision Rhinoplasty with Ear Graft? Doctor Answers, Tips
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What is the Difference Between Septo-Rhinoplasty with Septal Cartilage Graft and Revision Rhinoplasty with Ear Graft?

What is the difference between SeptoRhinoplasty with Septal Cartilage Graft and Revision Rhinoplasty with Ear Graft? What are the consequences of removing too much cartilage from the septum?

10 Doctor Answers | Asked by TAMMI5811
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Septorhinoplasty with septal cartilage graft and revision rhinoplasty with ear graft

Each procedure can vary depending on the needs of the patient. Sometimes, the patient may have a deviated septum (cartilage and/or bone causing obstruction inside the nose), along with a structural issue that may be preventing the patient from breathing properly. A patient with a deviated septum may have septoplasty performed simultaneously with a rhinoplasty. This is known as a "septorhinoplasty." During this procedure, any obstructions will be removed, leaving the patient with a open... more
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Cartilage grafts

Using cartilage grafts if or revision rhinoplasty is not at all uncommon. Septal cartilage is thicker, flat and stiff while ear cartilage is much softer and easier to contour. Which type to use often depends on what the graft is being used for as well as the personal preference of the surgeon. To build up the nasal bridge septal cartilage is usually better because the surgeon can obtaina large straight piece. Ear cartilage is better if being used to reconstruct... more
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Difference between septal and ear cartilage grafts

Not all rhinoplasties involve only tissue removal. Some require addition or augmentation to achieve the desired result. This is more often true in revision surgery where cartilage has often been previously removed. Many surgeons prefer to use the patient's own cartilage for this. Usually nasal septal cartilage is used first and is often fairly available in a previously non operated on patient. In revision patients septal cartilage may already have been removed so the surgeon may need to use... more

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Grafts and nose surgery

The terminology gets a bit confusing sometimes. Many primary rhinoplasties, and most revision rhinoplasties require cartilage grafting. We use cartilage as a "building block" for rhinoplasty. Most of the time we take it from the septum because it is readily accessible in the same surgical site and/or because it is deviated and affecting breathing. There is only so much septal cartilage we can use however. Taking too much septal cartilage is not a good idea because it can weaken the support... more
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Igraft

Septal, auricular and costal cartilage is the "stuff" of standard autologous rhinoplastic grafts and are used for many different reasons in septorhinoplasty surgery. Suffice it to say: "Lend me your ear" as igraft your nose!
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What is the Difference Between Septo-Rhinoplasty with Septal Cartilage Graft and Revision Rhinoplasty with Ear Graft?

That's a great question. Let's first assume that the same Rhinoplasty Surgeon was performing both procedures so that they would have the same goals for nasal refinement. Then the Rhinoplasty part would be done the same and have the same aesthetic goals. One uses septal cartilage as the graft material to the nasal tip while the other uses cartilage from the ear. Now, much more likely is that this is what was recommend by two different Rhinoplasty Surgeons which means the... more
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Grafting for rhinoplasty

Cartilage from the septum is straighter and stronger than ear cartilage. Thus, it i.e. better suited for structural support. Ear cartilage, is better suited for tip contouring, where shape is more important than support.
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Grafts used in the nose are often taken from the septum as well as the ear

The choice of graft source varies according to the cartilage needed, surgeon's choice and if you have had prior surgery. I prefer septal cartilage for most grafts if it is available. If you have had prior nasal surgery there may be insufficent cartilage in the septum to use as grafts as not to compromise nasal support, then I use ear cartilage. If a lot or long and strong cartilage is needed for revision rhinoplasty I then use rib cartilage, but don't feel this is necessary very often. more
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What is the Difference Between Septo-Rhinoplasty with Septal Cartilage Graft and Revision Rhinoplasty with Ear Graft?

Hi, The basic difference is septal cartilages vs ear cartilage. There are pros and cons of both. Depending on what part of the nose needs revising, septal cartilage can be superior because of its strength and shape. Ear cartilage has natural curvatures and is slightly weaker and can be used for tip grafts or butterfly spreader grafts. Your surgeon should now how much septal cartilage can be removed. Best, Dr.S. see video
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Septorhinoplasty with septal cartilage graft vs Revision with ear cartilage.

Septorhinoplasty with septal cartilage graft vs Revision with ear cartilage is where you get the cartilage and if the patient has had a rhinoplasty before--then it is a revision. If there is enough cartilage in the septum to do what the surgeon wants then there is no need to go to the ear.
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