Will cartilage graft make my nose strong and will it "grow" into the rest of the nose?

This has happened often when a surgeon first removes the hump and later rotates the tip upward. This creates a saddle deformity. The original thought of a dominate bridge was actually a downward projecting tip.To restore the bridge height your own cartledge is preferred. In an adult, growth of the nose has ceased. The primary concern is proper placement and stabilization of the graft. I usually integrates well for a lasting result. Your operating surgeon is the best place to start as I am sure he or she is motivated to give you the best result.Good LuckJ. Smythe Rich, MDFacial Plastic Surgeon

   From your description, cartilage grafting would be appropriate.    Cartilage grafting can improve appearance and strength.Kenneth Hughes, MDLos Angeles, CA

 Cartilage grafts do add strength to the nose and integrate in very nicely to the normal tissues of the nose. Most grafts  stay in place over the long-term, if they're put in the proper position to start with. the blood supply of the nose is very good, so the grafts tend  to take very well to the new surroundings.  It is very important to know whether or not the cartilage from the internal portion of the nose has been removed  during the primary rhinoplasty, so that there is enough cartilage left over for your  second rhinoplasty to build  up your bridgeline. For many examples  how we have built up a low bridge profile, please see the link below

Removal of the nasal bones and dorsal cartilage enough to cause a scooped nose can greatly weaken a nose. Reconstruction can use your own septal, ear or rib cartilage, or donor cartilage. It is possible to add strength and more structure to the nose. The nose will heal slowly but will be grown into by your tissue and is designed to last a lifetime. Rib can tend to curve over time. I think you are wise to avoid synthetic grafts that have a higher chance of extrusion and infection years later.

Dear Davidackson, Cartilage grafts are designed to add structure and strength. Each surgeon has their preference of grafting materials they like to use and I prefer to use the patients own cartilage for these types of procedures. The graft should also help restore the appearance of your profile to a more masculine looking nose. Best regards, Michael V. Elam, M.D.

Over the past 30 years I've always preferred to use the patient's own cartilage which will improve the structure and strength, restore a normal profile, and become incorporated into the surrounding normal tissue.