Can I have rib cartilage removed during a revision rhinoplasty?

I strongly recommend SUPERFICIAL (not the deep) temporal fascia to mask nasal irregularities that CANNOT be treated otherwise, I insist, only if the irregulatities can't be technically refined, smoothened, trated with structure rhinoplasty techniques.

If that is the case, the deep temporal fascia has a large millefeuille cake multilayer of collage acting like clay to fill the cracks, gaps and dents, faced down of course and leaving the smooth and gliding surface outwards.

Excellent and really terminanting solution, however, emphasis needed, reassure that the solution is not revisiting the nose.

See at the link below one of my cases of compulsory usage of deep temporalis fascia as last resort "look filter" to mask irregularities, and its excellent results.

Truly, perichondrium is utilized to camouflage irregularities on the bridge of the nose in somebody with thin skin. Rib cartilage may be removed, however, perichondrium is simply soft tissue, and may not be easily differentiated from surrounding scar tissue. Hope this helps. Sincerely, Dr Joseph

If it wasn't successful... then how do you know it's still even there? Is it causing any problems? But if you do want it removed, it's possible although sometimes can be a little sticky to remove.

Hello,
Thank you for your question.
Yes, the perichondrium used to camouflage the right side of your nose during your previous rhinoplasty can potentially be removed or revised during a revision procedure, depending on its current state and how it has integrated with the surrounding tissues. The perichondrium is a thin, fibrous layer from the rib cartilage and is typically used to soften contours or smooth irregularities. However, if it has created asymmetry, irregular texture, or hasn't achieved the desired result, your surgeon can assess whether it should be trimmed, repositioned, or completely removed during revision.
That said, revision rhinoplasty is complex, and the ability to remove or adjust the perichondrium depends on factors like scarring, tissue thickness, and the structural needs of your nose. It's important to consult with a board-certified rhinoplasty specialist experienced in revisions—they can evaluate your nose in person and advise you on the safest, most effective approach.

Hello and thank you for your question. Depending on your anatomy, yes it is likely possible to remove this during a revision. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon