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Donor tissue vs septal cartilage?

E
ellinda.mkMar 26, 2024

Hi.. thank you for taking the time to read this. I'm considering my revision rhinoplasty after my primary left me with an extremely low/flat bridge and bulbous/boxy tip. In this case, which type of cartilage is superior for bridge "building"? Is there more risks associated with donor cartilage? What are the benefits of donor cartilage vs my own? Thank you in advance for your answers!

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1738 Reviews
Answered on Apr 8, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with a formal tip deprojection. Although osteotomies are not part of the actual tip deprojection process, you will definitely require osteotomies because the dorsum will need to be taken down in...

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Hello and thank you for your question. It difficult to tell just based on the photos. At eight months post-op, you are still swollen. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It really depends on exactly what you need done, but ear cartilage does not work well, and I never use it as it lacks structural stability. If you don’t have septal cartilage available for grafting then I always use MTF Cartilage for revisions. I r...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you have instability and collapse of the dorsal aesthetic lines. Do not use a Goretex implant. That will cause numerous complications in your nose. Instead, you should have MTF Cartilage to rebuild the dorsal aesthetic lines with...

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