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Is best option an open approach & spreader graft with rib cartilage? (Photos)

imkat2022Jun 19, 2022
Considering revision, open with graft. Good afternoon. 3 years ago I had a rhinoplasty, septoplasty and turbinoplasty. While my breathing improved, I started to notice indentation in the nose bridge area as well as a dent on the left side on the bridge. It created a crease that goes all the way down to my nostrils. It can be see on. It’s sides but deeper on the left. I had a consultation for the revision and my doctor recommended open approach spreader graft with the rib cartilage. Is this the best option in my case?

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Marc Polacco, MD

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Paul Durand, MD

Hello. The bump you see can be indeed part of the cartilage graft or just fibrous (scar) tissue from healing that has occurred in that spot. This can be very hard to tell from an examination alone. At 6 months it should have significantly improved. If not, you might benefit from a revision...

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Man Koon Suh, MD

Thank you for your question. In your case radix lowering and tip projection are possible. For more defined and projected nasal tip, using septal cartilage is preferred, but ear cartilage or rib cartilage can be used if septal artilage has been already used. Which one is more advantageous needs...

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Gregory S. Dibelius, MD

In cases where there is a "pointiness" on one side of the tip associated with a different nostril shape, I would guess that the underlying issue may be an asymmetry of the tip cartilages. This theory is supported by the fact that if you push down on the pointy side it helps fix the nostril issue...

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