Graft Removal Including Onlay and Dorsum Difficulty?

          Cartilage grafts can be adherent to almost anything, but removing them is not particularly difficult in most cases.  If your skin envelope has been compromised by pressure atrophy to the skin, this operation is trickier.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

 Cartilage grafts can be removed from the nose when necessary. There are usually dissected off of the underlying portion of the skin and then removed.

Usually grafts can be freed from the overlying skin soft tissue coverage relatively easily, but they can be difficult to sometimes remove as they adhere to the underlying structures.