What are the chances of cartilage grafts shifting?

Question

I'm getting a revsion rhinoplasty with cartilage grafts from ear. The surgeon will use diced cartilage wraped in facia for my nose bridge, and cartilgae from ear to shape and lower my tipp. Do you think these grafts will shift/warp with time? What are the chances of it happening? And what is the best way to prevent them from warping and shifting? Also what is the best cartilage to use in tip, rib or ear?

Scott Trimas, MD · Answer

With appropriate placement, ear or conceal cartilage whether diced or placed as free grafts is typically durable and does not warp with time. The incidence of warping is actually higher with rib cartilage although rib cartilage is often stronger and used more support of structures especially in revision cases or where noses need a lot of cartilage to rebuild or support your nose. Good luck with your surgery.

Steven Wallach, MD · Answer

Diced cartilage in and of itself does not warp, but the "buritto-like" roll of cartilage in fascia can bend a bit.

Robert S. Schmidt, MD · Answer

Thanks for your question. The techniques you're describing are well established and time-tested. For structural support, I tend to use septal cartilage or rib cartilage. Ear cartilage works very well for alar reconstruction. They shouldn't warp or shift if properly secured. For a tip graft, rib cartilage might be better, but it depends on how strong a graft you need. If you just need a little bulk, the ear cartilage should be fine. If you're relying on it to support and project your nasal tip, something stronger might work better. It sounds like your surgeon has a good plan though. These are well established techniques with a good track record. Good luck with your revision.

What are the chances of cartilage grafts shifting?

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What are the chances of cartilage grafts shifting?

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Everything you need to know about Revision Rhinoplasty

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