What cartilage/other grafts can be used in a revision?

Question

I got a rib graft rhinoplasty 2 years ago. I am not sure why a rib graft was used in my primary but I want a revision since i regret it a lot & i'm not happy with how small it looks and doesn't fit me when i just wanted the hump removed. I also don't like how stiff it feels, i was wondering what other grafts can be used that are softer and more normal nose like bc if the previous rib graft can be removed?

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! Rib cartilage is certainly stiff and that's one reason rhinoplasty surgeons like to use it. By being stiff, it keeps the nose in position long-term. Softer cartilage may feel better, but it is often weaker and can lead to untoward changes. Ear cartilage is soft but not useful for many grafts needed in support. Septal cartilage is ideal because it is somewhere between the two. Fascia can also be placed over top to help camouflage and smooth any areas which may be too firm or pointy. I always tell my patients that their nose will feel stiffer after a structure rhinoplasty, but that's not a bad thing. Hope this helps!

Nima Shemirani, MD · Answer

Hi @tennisshoes. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Marc Polacco, MD · Answer

Thank you for your question. This really comes down to the pros and cons of surgery. The big question is, does the appearance and the stiffness bother you enough that you'd want to risk undergoing revision surgery? Usually when rib is used, it's because the nose needs support to achieve a particular result. Thus, if the rib were to be removed, it would be less stiff, but would likely loose support. Septal cartilage is less stiff than rib, but it is thinner and weaker. Again, it really comes down to the appearance and stiffness being severe enough to undergo a complex revision. I hope this is helpful, and I wish you all the best.
-Dr. P

What cartilage/other grafts can be used in a revision?

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What cartilage/other grafts can be used in a revision?

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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.