Rhinoplasty: Q&A

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The Rib Cartilage Graft on Nose Bridge is Not in the Center. Can It Be Fixed?

Hello, I have a question about my recent rhinoplasty. About 7 months ago, I had an augmentation rhinoplasty with a rib cartilage graft and I have noticed that the bridge is a little more to the left side. I was wondering if the graft can be placed in the center. If so, how invasive would the procedure be? I don't feel like having another "big" surgery with all the swelling (specially with rib grafts) Thank you

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6 Doctor Answers | Asked by NateL in SF

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Rib Graft Displacement After Rhinoplasty

Dear Natel, Without photos and physical examination, it is difficult to assess the asymmetry you are describing. Nonetheless, rib cartilage grafts require extreme delicacy and expertise when to be carved to fit the patient's nose. At 7 months post op, absorption may not be an option that could cause bold asymmetries. Also, you may be having some swelling left. Fillers could be used to correct the asymmetry if the warping is not large... more

Rib graft off center.

It may be possible to do a minor procedure or a temporary filler. Rib grafts can partially absorb or curve further with time. This is why I have not had to use them in 35 years of rhinoplasty. You can achieve good results without resorting to ribs except in the most severe bridge loss. See an experienced revision rhinoplasty surgeon to discuss the pros and cons of different ways to fix your problem

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Revision Rhinoplasty to Correct a Deviated Dorsal Cartilage Graft

Thanks for the question. I would have to examine you in person to determine the size and extent of deviation of your rib cartilage graft. A copy of your previous operative report would also be helpful. Generally, the graft can be removed, shaved if needed, and replaced in a pretty straightforward procedure. It would likely be possible to do this through a closed, or endonasal approach, if there are no other issues with your nose. In any case, i wouldn't expect the same degree of swelling... more

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The Rib Cartilage Graft on Nose Bridge is Not in the Center. Can It Be Fixed?

The rib cartilage dorsal graft may not be off the midline but could be dissolving unevenly which they can do. I'd have to see and feel the graft to see what's going on with the graft in order to make further recommendations.

Rib cartilage graft

RIb cartilage can warp and this may be the problem. If it is off center, and you want it centered, the graft may have to be removed repositioned or even replaced.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Revising a Rib Cartiage Graft

Hi, It all depends on how off center the graft is. If it is slight you can try to correct it with injectable fillers. If its not amenible to fillers you may need to have the graft removed and repositioned and/or replaced. Rib cartilage tends to warp thats one of the reasons custom carved silastic implants are better. Best, Dr.S. see video

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