Dorsal augmentation. Can rib be harvested while leaving the perichondrium in tact?

but... what for? that is a non very logical finesse... any reason's why? perichondrium plays no role and is irrelevant, why should it be re-built?when I harvest rib cartilage I do cut the perichondrium to access the shaft of the rib cartilage, then I lift off the outer layers and harvest the central core of the rib, which is the one warp-exempt.Then I close layers, first muscles and then superficial fascia, finally the skin.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Yes, this is possible.  Another option for dorsal augmentation is diced cartilage wrapped in fascia.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello,Thanks for your question. Yes, the rib perichondrium is kept intact during rib graft harvest normally. It helps stabilize the rib cage.Dr. Shah