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When is It Best to Use Your Own Cartilage for Rhinoplasty?
asked 8 months ago by anon
Latest answer by Babak Azizzadeh, MD
Question viewed 320 times
Tags: nose, candidate, cartilage, comparison, material, natural, recommendation, results, type
When is synthetic a better option for rhinoplasty? Is this only an option when natural cartilage failed on the first surgery and you need a revision, or vise-versa? What are some likely scenarios?
16 answers to When is It Best to Use Your Own Cartilage for Rhinoplasty?
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It is best to use your own cartilage if possible
It is always better to use your own cartilage if possible because it provides a lower risk of infection and complication, higher rate of incorporation, and better adaptability. In revision cases, it is even more imperative as the blood supply may be compromised from the previous operation(s), and, as a result, synthetic material may have a higher potential for failure. In primary cases for Asian, Hispanic, and African-American patients, silicone may be acceptable for dorsum; however, I still...
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Rhinoplasty -- cartilage or synthetics.
Cartilage from you is the best almost always since we rarely get an infection. In 35years I have never had an infection. Done by an experienced rhinoplasty surgeon you should not have a problem.
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Natural cartilage grafts in rhinoplasty
Your own cartilage will always be a better choice to consider provided you have a good source for the grafts. Septal, ear or rib graft sources are the traditional areas to consider. There is less chance for infection or rejection when your own tissue is used for augmentation. Alloplastic grafts can be very beneficial when other choices are not available.
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Cartilage grafts in rhinoplasty
It is always best to use one's own cartilages from the septum or ear. When not available then synthetic materials can be considered but again it should be a rare situation.
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What is the Best Grafting Material for Rhinoplasty?
It is best to use one's own cartilage for grafting in rhinoplasty surgery. Depending on the purpose of the graft, septal cartilage and ear cartilage are often successfully utilized. If these sources are unavailable or insufficient quantities available, then other options such as rib cartilage or synthetic material may be considered. The necessity of grafting during rhinoplasty and source of grafting material should be discussed at the time of consultation, after a nasal...
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Nose
You have asked the very question that is so often discussed at plastic surgery meetings. The answer varries from doctor ot doctor and year to year. My feeling is to use autografts if possible but, you may not have enough septal cartilage to do this. If that is the case alloplasts are also a good choice
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Revision rhinoplasty
I prefer to use your own cartilage in all primary and revision rhinoplasty cases. I have found that there is very little failure of cartilage when the cartilage you are using is your own, If you are using cadaveric cartilage, although the literature states that there is very little absorption and failure of cadaveric cartilage in rhinoplasty, I am not certain that this is in fact the case. I use cartilage from your septum, ear, and even rib cartilage depending upon...
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Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
Chevy Chase Facial Plastic Surgeon
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Synthetic implants for rhinoplasty
There is no absolute better or worse, just advantages and disadvantages to alloplast (implant) vs. autogenous tissue. Primarily, implants are quicker and easier to use, and do not require your surgeon to harvest donor cartilage from your nasal septum, ear, or rib. Implants however, may become exposed or infected over time, and require removal. Proper placement of the implant diminishes the possibility of exposure or infection. The use of RNA inhibiting peptide or a...
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I prefer ePTFE synthetic implants over septal cartilage for raising the nasal bridge during Rhinoplasty Surgery.
If the nasal bridge needs to be raised, and Rhinoplasty Surgery is necessary for tip refinenent, I typically prefer a synthetic ePTFE implant over cartilage. ePTFE implants may be custom carved in the OR, and my experience with this material has been favorable. Complications with ePTFE like infection, extrusion, or misplacement are uncommon and occur in less than 5% of patients. The majority of my patients withh ePTFE dorsal nasal implants are thrilled with their results.
Many reputable...
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Rhinoplasty implants
The ideal implant is always to use your own tissue. However, this is not always possible and not always desired by the patient based upon how the cartilage is harvested( i.e. rib)
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When is It Best to Use Your Own Cartilage for Rhinoplasty?
Whenever possible (if available) using your OWN tissue as grafts is ALWAYS better than tissue from another human (radiated etc) or man made (Synthetic). Your own tissue is better accepted, lasts longer, has a lower rate of scarring, infection, rejection or ulceration. Son, if there is good cartilage that could be harvested elsewhere I would seriously recommend that before considering another graft source.
Peter A Aldea, MD
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Implants vs Autologous Cartilage
There are pros and cons to both synthetic and autologous cartilage (from within yourself). However, in my experience, I prefer using autologous cartilage as I have seen many complications from nasal implant use. Please consult with a board certified specialist who can assist you with your concerns to help you achieve the results you desire.
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Synthetic Implant or Own cartilage for rhinoplasty?
The short answer is ALWAYS! Your own tissue is far and away the best choice for reconstruction or enhancement. As you point out, this is not always available to your surgeon if you have had previous reduction or excisional surgery on your nose. I prefer using the patient's own septal and auricular cartilage as first choice. I do use "gortex" sheeting or even a sialastic implant with "gortex" coating for dorsal nasal reconstruction in some cases and this...
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Von Graham, MD
New Orleans Facial Plastic Surgeon
New Orleans Facial Plastic Surgeon
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Natural or synthetic?
If structural changes are needed for the TIP, your own cartilage is always best! If augmentation is needed for the dorsum or bridge, both your own tissues and artificial implants work well. There are pros and cons to each, and detailed discussion of all your options is important BEFORE surgery! Good luck
J. Charles Finn, MD
Raleigh-Durham Facial Plastic Surgeon
Raleigh-Durham Facial Plastic Surgeon
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Synthetic vs Natural in Rhinoplasty
Your own tissue is always better than synthetic unless you don't have enough to achieve the end result. Cartilage grafts are your own tissues, and you don't have a risk of rejection. Synthetic materials are prone to infection and extrusion through your tissues over time. As long as you have ample cartilage, you should always choose this, just find a surgeon who is experienced with rhinoplasty surgery.
Best of luck
Vince Marin, MD
San Diego Plastic Surgeon
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Non-Surgical Rhinoplasty uses synthetic materials to contour the nose
Dermafillers may be used to contour the nose. They may be used for primary or secondary rhinoplasty surgery. In both cases they have the advantage of avoiding surgery to the skin and underlying tissues. The can selectively augment certain areas.
Unlike surgery, they may not reduce or remove bone and cartilage. Dermafillers are an alternative to using cartilage grafts. There are some situations where cartilage or bone grafts may be required for large...
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