How much conchal cartilage is typically removed/needed for a nose tip graft?

Question

Hello.....In reference to the harvest of ear conchal bowl cartilage for use as a nose tip graft in rhinoplasty, how much of this cartilage is typically removed? Is the entire upper portion of the bowl removed for the nose tip graft, or is it commonplace to preserve a portion of the upper bowl while removing only a thin layer that is needed? What is the usual amount removed? I do not want to be missing my entire upper cartilage bowl as a result. Thank you....Connie

Eric M. Joseph, MD · Answer

The amount of cartilage that is removed from the ear is largely dependent upon what needs to be done during rhinoplasty surgery revision. If a total tip reconstruction needs to be performed, sometimes all of the concha is taken.  Most people do not miss having this cartilage and it should not lead to changes in the shape of the year. For the last several years, we prefer using cadaver rib cartilage from the musculoskeletal tissue foundation in New Jersey. It comes in pre-cut sheets that are particularly useful for nasal tip reconstruction. Thank you. Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I usually don’t recommend using ear cartilage at all, as it lacks the structural stability needed for supportive grafts.  There are many better options available depending on your anatomy. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

It's always very important to try and use nasal cartilage first when performing a rhinoplasty or revision rhinoplasty. If the entire nose has been depleted of cartilage, then consider a graft from the ear. The amount of cartilage needed from either the nose or the ear is directly related to what type of grafts are going to be required in the nasal tip

Rondi Kathleen Walker, MD - Account Suspended · Answer

Thank you for your question. The surgeon usualy determines the amount of cartilage required at the time of surgery.  The entire conchal bowl or a portion of it may be used to create grafts for the nasal tip.

How much conchal cartilage is typically removed/needed for a nose tip graft?

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Answer: How Much Conchal Cartilage for a Nasal Tip Graft

Answer: How Much Conchal Cartilage for a Nasal Tip Graft

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How much conchal cartilage is typically removed/needed for a nose tip graft?

Answers (4)

Answer: How Much Conchal Cartilage for a Nasal Tip Graft

Answer: How Much Conchal Cartilage for a Nasal Tip Graft

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.