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

Yes, the perichondrium can be left in place when harvesting rib cartilage. It is technically very easy to leave it intact. However, I frequently find the perichondrium to be helpful during the rhinoplasty and, in general, think that taking the perichondrium is more beneficial than leaving it behind.

Revisionseeker23,
Thanks for your question.  In short, yes, rib cartilage can be harvested while leaving the perichondrium intact.  It is sometimes done this way because the perichondrium, if left intact, can form new cartilage where the old cartilage was removed.  It is also sometimes removed with the cartilage while leaving the cartilage attached so that it can support the cartilage when it is carved into the shape needed for your nose.  Both ways are acceptable, and I think that rather than focus on this issue, focusing on finding a surgeon skilled in revision rhinoplasty is a larger concern, as this is a surgical detail that great surgeons can debate for hours.  Good luck!