Is the rib cartilage bump causing pressure, and will I need revision rhinoplasty to prevent extrusion? (Photo)

Question

I am 19 months post-rhinoplasty with a rib cartilage graft at the tip and a silicone implant at the bridge. A bump has formed on my columella, which my doctor confirmed is caused by the rib cartilage graft being close to the skin. I occasionally feel stinging and a popping sensation but have no persistent pain, redness, or swelling. The skin over the graft is thin, and I’m concerned about the risks of skin thinning or extrusion but want to avoid revision surgery.

Donald B. Yoo, MD, FACS · Answer

The bump is most likely due to visibility of the medial crus (tip cartilage). It will not extrude, though as your skin continues to de-swell more contour irregularities may appear. However, the silicone implant on the bridge of your nose is not permanent and will require revision at some point.

Eric M. Joseph, MD · Answer

We can see the bulge at your right columella, and I agree that this is likely a cartilage graft. Since this is likely most visible at the base of your nose, not while looking straight ahead, this is something you could certainly live with, with a very low risk of Extrusion. Over a lifetime, a dorsal nasal implant made of silicone has a 2 to 3% chance of Extrusion. Thank you for your question, and I hope this is helpful. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you will likely need a revision to help improve the symmetry of the columella. Also, the silicone implant should be removed. Those have an extremely high rate of complications. With good surgical technique, you could have an outstanding result. 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

Is the rib cartilage bump causing pressure, and will I need revision rhinoplasty to prevent extrusion? (Photo)

Answers (3)

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Is the rib cartilage bump causing pressure, and will I need revision rhinoplasty to prevent extrusion? (Photo)

Answers (3)

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Everything you need to know about Asian Rhinoplasty

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