What's the best material for tip grafting? Ear cartilage or rib cartilage?
Doctor Answers 4
Ear Cartilage or Rib Cartilage for Nasal Tip Grafting
This is the easiest question I've answered all day. Rib cartilage is not necessary; harvesting this is more difficult for both the patient and surgeon. If you care, it is a lot less expensive to use ear cartilage.
Ear or rib cartilage for tip graft?
it's quite easy. Rib=lot of Cartlage and lot of cost and pain. Ear=smaller amount of cartilage and minimal pain and cost. For a tip graft have ear cartilage done by a very experienced rhinoplasty surgeon.
Thank you for your question. The answer is both surgeon- and patient-specific. I suggest that you ask this question during your consultation with your board certified facial plastic surgeon. Your surgeon will review the pros and cons of each and their specific application to you and your surgery. It is always helpful to write down all of your questions for the consultation.
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The short answer is that both have their advantages and one is not necessarily the best. It depends on the patient, their anatomy and goals and the surgeon's preference.
Ear cartilage has the advantage of being fairly easy to harvest with minimal risks and provides excellent soft cartilage. The downside is that it is limited in supply and sometimes does not provide the support required.
Harvesting rib cartilage provides an abundant amount of material for grafting. In addition, the cartilage can typically provide better support and structure than ear cartilage. The downside is that it may have a greater tendency to change or warp over time and harvesting it presents some real risks as well as discomfort. That said, some surgeons recommend irradiated donor rib, which precludes the need for surgical harvesting-this is a fairly controversial topic among rhinoplasty surgeons.
Hope that helps-this is an excellent question to ask your rhinoplasty surgeon as you are exploring your options.
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