My Columella Has Retracted and Cartilage Reabsorbed. Am I Too Old for my Own Rib? I'm 49

my columella has retracted and cartilage reabsorbed. Am I too Old for my own Rib I'm 49 I have had 4 surgeries. It has retracted I Know that and I feel that it has reabsorbed as it's a lot thinner right inside of the columella, also when I lift my nose a bit I feel better and it feels more support. My last surgery was in 2007 I know the anterior portion of the septum has thinned in I was told. I was told I was too old for my own rib? it also seems like the sides have widened?

Doctor Answers 4

Retraction of columella after surgery

The columella is an easy part to support with grafts.  Rib is usually not needed since enough good cartilege can be harvested from behind the ear.

Tampa Plastic Surgeon
5.0 out of 5 stars 45 reviews

At 49 am I too old for rib graft to retracted columella?

 No, there's no age limit for rib graft however, IMHO of over 20 years performing Rhinoplasty, rib graft is not the preferred cartilage for nasal grafting as it has a tendency to dissolve unevenly over years.  From the photo, it appears that the columellar cartilage dissolves along the inferior aspect, creating a retracted columella.  The easiest approach to fill in the retracted lower columella is a crushed cratilage graft taken form behind your ear.

 Other aspects of your nose should be discussed during a more formal consultation, either in person, or by telephone with an experienced Rhinoplasty surgeon.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Too old for rib

You are not to old to have your rib used. You just need to realize that for some people the recovery is very uncomfortable in the chest area and do you want to go through that for this degree of deformity? If your ears have not been used in previous surgery, end to end septal extension graft with PDF foil has proven to be very effective for this problem and will not be as big a procedure. Another option is to use donor irradiated homologous rib as well. Good luck!

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Rhinoplasty revision

ofter grafts will not work well with your skin. SAt 49 years you are a young man.

Your skin of the nose is very thick and probably oily. Rib cartillage graft is much stffer, and will hold.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.