What are the long-term outcomes of donor vs your own rib cartilage for perforated septum-repair/rhinoplasty?

Hmmm... this is a bit of a confusing question because rib is used typically for structure of the nose framework and not for perforated septum surgery. My experience with using the patient's rib has been mixed because the surgery lasts longer, appropriate rib length is not always easily obtained, the rib calcifies with age, and the patient has more pain; however the risk of less resorption, less infection risk are all real advantages.

Donor cartilage is really easy to work with as a surgeon; it definitely cuts down on the operative time. You also do not have donor site pain- which can be a bit advantage.

The perforated septum is a whole different discussion. That I would go through carefully with your surgeon because that is a size dependent discussion. Best Wishes!!

A perforated septum is very difficult to fix. You should ask two questions. Dies the irritation really need to be fixed. What problems are you having with it. Next is the surgeon experienced at repairing septal perforations and what is the success rate.