Ear Vs Septal Cartilage - which is best for a rhinoplasty? (Photos)

Question

Hi everyone I’m currently researching surgeons for my primary rhinoplasty and I’ve gotten two different opinions. One surgeon said he’d use septal cartilage, while the other mentioned ear cartilage. After watching a few videos, I’ve noticed some surgeons say ear cartilage is too flimsy for structure, but others seem to use it quite commonly. I’m a bit confused and would love some insight. For context, I’m mixed Asian and European. My bridge is more European, with a small bump I’d like refined, while my tip is softer and weaker. Does that combination make sense for preferring one cartilage source over the other? Is septal generally better for more support and definition, or can ear cartilage still give good long-term structure for the tip? Would really appreciate hearing from the experts :) Thanks in advance.

Ronald J. Edelson, MD · Answer

There are many ways to go on this. Personally I rarely use cartilage grafts at all. My best advice is to choose the surgeon you feel most comfortable with.  The use of ear versus  septal cartilage makes no difference in the hand of the right surgeon.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Stephen Prendiville, MD · Answer

Septal cartilage is the best cartilage for rhinoplasty grafting without question in terms of strength, reliability, shape, and longevity.  Ear cartilage and/or donor rib cartilage are options if septal cartilage has already been used or is unavailable.

Zoran Potparic, MD · Answer

You seem to be a good candidate for rhinoplasty based on these photos. In person consultation with a board certified plastic surgeon with expertise in rhinoplasty is the best way to find good answer. Considering quality of cartilage grafts, septal cartilage is far superior because of rigidity to ear cartilage which is softer. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Do not use ear cartilage. It lacks structural integrity. Septal cartilage is a much better choice. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip support, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ear Vs Septal Cartilage - which is best for a rhinoplasty? (Photos)

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