Donor Rib Cartilage on Bridge Skin Is Red- Should I Worry?

Question

Should I be concern that my bridge with rib cartilage is red and very noticeable thru skin? Does this mean I should have a revision very soon since I don't want my skin to thin out more with more time. I am post ops 2 months. I can see the cartilage very clearly at the bridge between my eyes. In addition it is also crooked toward left and nostril asymmetry very obvious. Is there any reason why I should wait? I want it removed eventually.

Kevin Brenner, MD, FACS · Answer

Cadaver cartilage grafts are more likely to cause an inflammatory reaction than are a patient's own cartilage grafts. As long as the graft is not overtly infected, it is probably best to wait about a year prior to undergoing nasal revision surgery. However, your surgeon may need to take this graft out sooner if there is a clear cut infection. Your best bet will be replacement with a graft made out of your own cartilage, either from your ear or rib. Placing deep temporal fascia along the bridge will also help to mask any visibility and may also be considered.

Barry L. Eppley, MD, DMD · Answer

When you have these concerns at any time after any type of implant/cartilage is used for dorsal nasal augmentation, it is a cause for considerable concern. Whether it is an impeding infection, or more likely a pressure phenomenon from the graft, it should be evaluated and addressed promptly. Time is not on your side when it comes to a satisfactory solution when it comes to this type of rhinoplasty problem.

Steven Wallach, MD · Answer

With your complaints about redness and visiblity, it is concerning.  Photos and better yet a physical exam in person is ideal.  It sounds like it could be impending extrusion of  the rib.

Vincent P. Marin, MD, FACS · Answer

Without a photo is is difficult to tell you any specifics, but what you are describing should be evaluated by your doctor. You want to ensure that there aren't any problems or risk of exposure of the graft. The donor rib can be reabsorbed with time and you may have a chronic inflammatory response related to this absorption of the donor. Waiting for a full year is normally recommended so that your surgeon can make an accurate assessment of your final results.  You will also likely need to have additional cartilage replaced in this area, so consult with someone experienced in revision rhinoplasty.

Best of luck,

Vincent Marin, MD
	San Diego Plastic Surgeon

Rick Rosen, MD · Answer

it is difficult to be sure without an evaluation. but I would recommend you see your surgeon promptly and have them check things out.

Donor Rib Cartilage on Bridge Skin Is Red- Should I Worry?

Answers (9)

Answer: Donor Rib Cartilage Problems

Answer: Donor Rib Cartilage Problems

Answer: Rib graft to nose and question infection

Answer: Rib graft to nose and question infection

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Everything you need to know about Rhinoplasty

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Donor Rib Cartilage on Bridge Skin Is Red- Should I Worry?

Answers (9)

Answer: Donor Rib Cartilage Problems

Answer: Donor Rib Cartilage Problems

Answer: Rib graft to nose and question infection

Answer: Rib graft to nose and question infection

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.