I have an appointment for a tiplasty where the tip of my nose will be lifted. The doctor said he will use an ear cartilage strut to do this but as I have done more research I see that ear cartilage "warps".My question is, what exactly does "warp" mean? What are the chances of it "warping" and is it normal for a doctor to use ear cartilage instead of septum cartilage from someone who has never had a Rhinoplasty done before? Thank you.
Answer: Septal cartilage is preferred. Ear and septal cartilage are actually two different types of cartilage (elastic and hyaline, respectively) and have different mechanical properties. While any cartilage graft can warp (twist or deform over time), septal cartilage tends to be more useful structurally. You're also correct that most surgeon's--myself included--will use septal cartilage over ear cartilage, if it's available. Most patients undergoing their first (and hopefully last) rhinoplasty will have adequate septal cartilage available. I'd be a bit suspicious of someone advocating ear cartilage first (unless the septal cartilage was too deformed, or had a large perforation). It makes me wonder if the surgeon is experienced at operating on the septum. And if he/she isn't, then that surgeon shouldn't be touching the rest of the nose! All the best, --DCP
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Answer: Septal cartilage is preferred. Ear and septal cartilage are actually two different types of cartilage (elastic and hyaline, respectively) and have different mechanical properties. While any cartilage graft can warp (twist or deform over time), septal cartilage tends to be more useful structurally. You're also correct that most surgeon's--myself included--will use septal cartilage over ear cartilage, if it's available. Most patients undergoing their first (and hopefully last) rhinoplasty will have adequate septal cartilage available. I'd be a bit suspicious of someone advocating ear cartilage first (unless the septal cartilage was too deformed, or had a large perforation). It makes me wonder if the surgeon is experienced at operating on the septum. And if he/she isn't, then that surgeon shouldn't be touching the rest of the nose! All the best, --DCP
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Answer: "Warping" can occur with any cartilage. Why not use the septum? You have asked some interesting questions. "Warping" is when the cartilage implant bends, or changes shape. This may happen to cartilage implants, but is not usually a problem with the strut you have described. Ear cartilage is not very straight to begin with--so it's not my first choice for a tip strut. I prefer to use septal cartilage--which is generally much straighter. You mentioned that you had never had a rhinoplasty--but have you had a septoplasty--was cartilage removed from your septum? If so, this may be why the surgeon wants to use ear cartilage. If not, ask if the surgeon can use your septum as the donor for the cartilage.
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Answer: "Warping" can occur with any cartilage. Why not use the septum? You have asked some interesting questions. "Warping" is when the cartilage implant bends, or changes shape. This may happen to cartilage implants, but is not usually a problem with the strut you have described. Ear cartilage is not very straight to begin with--so it's not my first choice for a tip strut. I prefer to use septal cartilage--which is generally much straighter. You mentioned that you had never had a rhinoplasty--but have you had a septoplasty--was cartilage removed from your septum? If so, this may be why the surgeon wants to use ear cartilage. If not, ask if the surgeon can use your septum as the donor for the cartilage.
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October 29, 2009
Answer: Cartilage warping after rhinoplasty Cartilage warping after rhinoplasty can occur and may not even be visible until many years after the procedure. The absolute best cartilage for rhinoplasty surgery is your own septal cartilage if it is available. Septal cartilage rarely if ever warps and is always in my opinion the best and should be the first choice. Now if you have had septal surgery before that cartilage may not be available; however, if you have not I would recommend that cartilage be the first choice. You should discuss with your surgeon why he does not wish to use septal cartilage and especially if the purpose is to lift your tip since septal cartilage is inherently straighter, longer, stronger and generally does not warp. I hope this information helps.
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October 29, 2009
Answer: Cartilage warping after rhinoplasty Cartilage warping after rhinoplasty can occur and may not even be visible until many years after the procedure. The absolute best cartilage for rhinoplasty surgery is your own septal cartilage if it is available. Septal cartilage rarely if ever warps and is always in my opinion the best and should be the first choice. Now if you have had septal surgery before that cartilage may not be available; however, if you have not I would recommend that cartilage be the first choice. You should discuss with your surgeon why he does not wish to use septal cartilage and especially if the purpose is to lift your tip since septal cartilage is inherently straighter, longer, stronger and generally does not warp. I hope this information helps.
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November 3, 2014
Answer: Ear cartilage can be used for rhinoplasty Dear Frank, Ear cartilage is not typically used if you have never had rhinoplasty. It doesn't have the same support as septal cartilage and has a greater chance of warping. It will also leave an unnecessary scar on your ear. I do use ear cartilage grafts in revision rhinoplasty when there is insufficient septal cartilage or if I am reconstructing missing convexly-shaped portions of the tip that have been over resected. Ask your plastic surgeon for his rationale. Good luck!
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November 3, 2014
Answer: Ear cartilage can be used for rhinoplasty Dear Frank, Ear cartilage is not typically used if you have never had rhinoplasty. It doesn't have the same support as septal cartilage and has a greater chance of warping. It will also leave an unnecessary scar on your ear. I do use ear cartilage grafts in revision rhinoplasty when there is insufficient septal cartilage or if I am reconstructing missing convexly-shaped portions of the tip that have been over resected. Ask your plastic surgeon for his rationale. Good luck!
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November 13, 2015
Answer: Septal Cartilage Grafts used during Rhinoplasty Surgery work well to support and elevate your tip. If you've never had a previous rhinoplasty, I'm not sure why your surgeon is suggesting the use of ear cartilage. Septal cartilage is stronger, straighter, easier to harvest, and won't leave a scar on your ear. If your surgeon is experienced, you'll get a good answer. If not, please get a second opinion. I've attached a link to my rhinoplasty photos for your perusal. Just about all of my Rhinoplasty patients have septal cartilage grafts (Columella-struts), since they work well in helping to support and rotate your tip. I hope this is helpful, and best regards.
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November 13, 2015
Answer: Septal Cartilage Grafts used during Rhinoplasty Surgery work well to support and elevate your tip. If you've never had a previous rhinoplasty, I'm not sure why your surgeon is suggesting the use of ear cartilage. Septal cartilage is stronger, straighter, easier to harvest, and won't leave a scar on your ear. If your surgeon is experienced, you'll get a good answer. If not, please get a second opinion. I've attached a link to my rhinoplasty photos for your perusal. Just about all of my Rhinoplasty patients have septal cartilage grafts (Columella-struts), since they work well in helping to support and rotate your tip. I hope this is helpful, and best regards.
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October 29, 2009
Answer: Personally I like septal cartilage as a first choice, it is stronger than ear There are a number of choices for cartilage grafts for the nose. My preference is septal cartilage. It tends to be stronger and straighter than ear cartilage. They are actually different kinds of cartilage. Not only is ear cartilage weaker, but just look at your ear, the cartilage is already inherently curved, so getting a straight piece is much harder. I cannot judge the surgeon you chose, but someone should be comfortable with all aspects of nasal surgery to do the best rhinoplasties.
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October 29, 2009
Answer: Personally I like septal cartilage as a first choice, it is stronger than ear There are a number of choices for cartilage grafts for the nose. My preference is septal cartilage. It tends to be stronger and straighter than ear cartilage. They are actually different kinds of cartilage. Not only is ear cartilage weaker, but just look at your ear, the cartilage is already inherently curved, so getting a straight piece is much harder. I cannot judge the surgeon you chose, but someone should be comfortable with all aspects of nasal surgery to do the best rhinoplasties.
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