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Hi Cassiedy,The rib cartilage used for the grafts are no more likely than any other type of cartilage to show through the skin. Your doctor will work to prevent the cartilage from showing.Good luck!
When rib grafts are used for revision rhinoplasty it is generally the rib cartilage that is harvested (rarely the bone). These cartilages are then shaped and carved as needed for grafting. When done correctly, they are not visible through the nasal skin. Good luck!
Rib cartilage grafts are not any more likely to show through your skin than any other type of cartilage. The amount by which cartilage is visible in your nose depends on the thickness of your skin. In patients with median or thick skin, the grafts are not typically visible and have a natural appearance. In patients with thin skin, I typically use a fascia graft to conceal the grafts. Fascia is a layer of connective tissue that can be obtained from over the harvested rib or from over the temporalis muscle in the hair bearing region of the scalp.Ziyad Hammoudeh, MD
A shield graft is a piece of cartilage cut into the shape of a shield that is placed on the lower lateral cartilages of the nasal tip as one of the final steps of a rhinoplasty, when needed. The surgeon can elect to use a shield graft when the nasal tip is bulbous, needs additional defi...
Hi there,Thank you for your question.I agree your columella has dropped, in the context of an overall excellent rhinoplasty and outcome. Personally I think it would look better if raised up like your early post op picture, althought his is simply a matter of taste - if you prefer it as is, t...
Hi Tila.gh, Great question! Don't be devastated, as there are multiple options for you. Looking at your photos, it appears that you still have some excess height of your dorsum (the so called "bump"), some tip asymmetry, a "pinched" middle vault of the nose, and perhaps a...
Hi there, As a rule of thumb, the bridge of the nose takes about 3 months for swelling to go down all the way, the midvault takes about 6 months, and the tip takes up to a year. I'd wait that long before going in for touch ups because you complaint appears to pertain to the lower 1/3 of...
Some of the options for bridge or dorsal augmentation in rhinoplasty or revision rhinoplasty include solid carved rib grafts, diced cartilage wrapped in temporalis fasica, diced cartilage formed into a solid implant with tissue glue, synthetic implants such as gortex. IF its only a small amount...
Hello, this is Dr.Lee from VIP PS, Seoul, Korea. *Please understand that this answer is limited as I did not have a chance to diagnose and examine your nose in-person. Based on the two surgeons' answers and photos, it seems like your skin is very thin and upturned due to contraction from...
