What percent of rib grafts warp after revision rhino? If warping does occur, what is the period of time this can be expected?

Hello,
Thank
you for your question. Rib grafts warping is not uncommon situation.
They can be warped in months and decades. When rib grafts are used,
it is possible for you to have warping .And this wrapping can easily
be treated with revision rhinoplasty surgery so ; we are performing
some techniques such as scoring and stitching that prevent them
from warping in time and we also cover the ribs with fascia that
helps prevent warping too.
Best
wishes and good luck

Bora
Ok, MD - Plastic, Reconstructive and Aesthetic Surgeon

hello thank you for your question and provided information as well.. based in your question its difficult evaluate you if the case dont have a picture, my recommendation is get  a consultation in person with a plastic surgeon to discuss all about theme.

Textbooks have photos of rib cartilage bridge grafts that warped decades after they were placed. The thought used to be that leaving the cartilage covering of perichondrium on one side caused the graft to bend as the perichondrium contracted. Some surgeons "bruise" ear cartilage or crush it so it does not warp. Rib cartilage is harder so some surgeons dice it and insert the diced cartilage into a sock of tissue that is then placed in total as the graft. Treatment of the inverted-v is usually spreader grafts, which lie in a different position than bridge grafts for bridge augmentation. The spreader grafts are sutured into position between the septal and lateral cartilages. In this position it is unlikely they could warp as opposed to bridge grafts that are placed on top of the septal cartilage and nasal bones and are more likely to warp.