Will a septal graft to lengthen a nose absorb or warp years after the revision rhinoplasty?

Question

I've had a primary rhinoplasty and am unhappy of the length of my nose and want to lengthen it 2-3mm and downwards. This is my only fear to getting this accomplished

William Portuese, MD · Answer

Nasal cartilage does not tend to warp, however rib cartilage does have that tendency. If the graft has been placed in the appropriate position, absorption is very rare. Revision rhinoplasty is a very difficult endeavor,  so choose your surgeon wisely based on experience

Myriam Loyo, MD · Answer

Hi there,Usuing a septal extension graft to lengthen and decrease rotation is a good plan for a revision rhinoplasty. Depending on what cartilage is used for the graft there could be a risk for warping. Sometimes there is residual septal cartilage that can be used and other times rib cartilage is needed. Re-absorption is also a risk, although small. Your surgeon will work with the material to minimize the risks of warping or any post-operative abnormality. There is always a risk with surgery, but a good surgeon will consistently get nice improvements and be able to deal with unexpected healing complications. You have to be comfortable with the risks going into surgery. Hope nor this is helpfulGood luck

Michael Elam, MD (retired) · Answer

Dear viking92, A septal graft is my most preferred graft.  In my thirty years of practice I have found a septal graft to be the most consistent in its stability. Speak with your surgeon to discuss your concerns so you have a full understanding of the procedure. Best regards, Michael V. Elam, M.D.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed and taught Rhinoplasty for 30 years.  Septal cartilage is typically quite stable and will not absorb, dissolve unevenly or warp like rib or folded ear cartilage.  Hope this helps.

Richard W. Fleming, MD (retired) · Answer

The risk of cartilage warping is always present but this depends primarily on the source of the cartilage and where it is placed. When septal cartilage is used to lengthen the nose this is extremely unlikely. In over 35 years I've never seen warping occur with this graft. Rib cartilage is more like to twist over time, especially when placed on the bridge.

Will a septal graft to lengthen a nose absorb or warp years after the revision rhinoplasty?

Answers (5)

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