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Can a rib graft rhinoplasty be revised without removing the graft?

R
rukismomJun 14, 2023

If a rib graft rhinoplasty final result is too wide can it be revised without removing and replacing the rib graft?

Answers (2)

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Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jun 14, 2023
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Dr. Selcuk Inanli, MD
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Dr. Selcuk Inanli, MD
Facial Plastic Surgeon
4.8 | 75 Reviews
Answered on Jun 25, 2023
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John Michael Thomassen, MD

The septum is not typically reduced to shorten the nose as this can be to aggressive. Usually a cephalic trim or suturing the medial crura up to the septum can achieve this.

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John Michael Thomassen, MD

Septal cartilage is the best, followed by ear, and rib. Rib tends to warp and ear has little integrity. There is also fresh frozen cadaveric rib cartilage which seems to last.

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Selcuk Inanli, MD

Hello! Thank you for your question.1. Using nasal dilators cannot increase the large of your nostrils.2. I recommend you a revision rhinoplasty, where we can use external grafts to reshape the nostrils and make a new alar base. The scar will be done on the same place as your previous surgery....

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Randal Haworth, MD, FACS

In general, trauma to the nose, even after a previous surgery, can potentially cause changes in its shape or structure. The impact from your phone falling on your nose could have caused damage to the underlying cartilage or tissue, leading to the visible line you mentioned. This could be related...

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Selcuk Inanli, MD

Hello! Thank you for your question.Without your face photos it is hard to make an evaluation. Anyway, it is possible to reduce size of the nose with a revision rhinoplasty, but it depends on your case. If you can provide your face photos from front and side, I would be happy to evaluate your...

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Selcuk Inanli, MD

Hello! Thank you for your question.From the photo you provided it looks like your right nostril have collapsed. They're really uneven. I recommend you a revision rhinoplasty. We will most probably need to use rib cartilage and external grafts to reshape the tip and correct the nostrils. Best...

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