Solid rib graft vs diced cartilage wrapped in fascia? (Photo)

Question

Which one is better for me? I've attach photo of current vs desired out come from the side profile. Keep in mind my pre-rhino nose had the same tip and bridge projection (which I liked) only with a slight hump. The doctor removed to much. The bridge still has the same prerhino shape, but to close to my face. I don't want a different bridge from the front, I want it the same only higher off my face. Which dorsal graft is better for this? Also, does a DCF feel like bone or is it soft?

Victor Chung, MD · Answer

One of the most challenging defects to improve after a primary rhinoplasty is a bridge (dorsum) that has been over reduced. Patients who expect to return to the original bridge height will often be disappointed. Typically, the bridge is only a few millimeters too low. Adding a big, solid rib cartilage graft may create too much height with a risk of warping or visibles edges. Diced cartilage may have issues with bumpiness, contour, or bunching in the supratip. Synthetic implants have a life-time risk of infection. Finding the right surgeon, who has experience in revision rhinoplasty and they are comfortable with addressing the issues that go along with the dorsal augmentation technique they use, is of the utmost importance. I encourage you to get a few opinions. Ask them specifically about the risks of the technique they use and how they can get you a safe outcome.

Barry L. Eppley, MD, DMD · Answer

Diced cartilage is almost always better than a solid rib graft. It has less risk of asymmetry, shidting and any visible edges. It will feel solid within a few weeks after surgery.

Jay M. Pensler, MD - Account Suspended · Answer

I personally prefer to use diced cartilage wrapped in fascia. I have found the feel of the wrapped cartilage to be superior to a rib graft.With time the rib grafts tend to look like a toothbrush handle.

Solid rib graft vs diced cartilage wrapped in fascia? (Photo)

Answers (3)

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Everything you need to know about Rhinoplasty

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

Solid rib graft vs diced cartilage wrapped in fascia? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Rhinoplasty

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