Have Anybody Use a Freeze-dried Allograft Bone Instead of Harvesting Rib Cartilage from Patient?

I have several surgeries and still the doctors can't make my nose right the way I would like it too. They always wanted to use my ear cartilage, rib cartilage, what will happen if I ran out of this extra cartilage to give way to my nose revision? One doctor suggested that I should consider freeze-dried allograft bone/cartilage. He says he had used it with 95% success rate. The advantage of course there's no additional surgery for the patient just to harvest cartilage/bone for the reconstruction.

Doctor Answers 6

Is allograft rib cartilage safe and effective for rhinoplasty?

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Cadaveric rib is used quite frequently. I prefer to use a patients own cartilage from the nasal septum, ear or rib if other sources of cartilage are inadequate. However, I have used alot of cadaveric rib cartilage as well. It tends to be very effective. However, these are concerns about possible warping or early resorption of cadaveric rib grafts to consider. I agree with the sentiment that you should choose the more accomplished surgeon to revise your nose rather than the implant. An experienced nasal surgeon will be able to discuss your options and make a strong recommendation for the best approach to take. I hope this is helpful.

Stephen Weber MD, FACS

Have Anybody Use a Freeze-dried Allograft Bone Instead of Harvesting Rib Cartilage from Patient?

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 I have performed Rhinoplasty and Revision Rhioplasty for well over 25 years and IMHO, this will have a tendency to dissolve unevenly over the years as ear cartilage, rib cartilage, rib bone, calvarial bone and irradiated (banked) rib or bone all does.  I only use straight silastic dorsal implants to build up the nasal bridge and conchal cartilage ear grafts to the nasal tip area.  Both have proven highly successful over the years.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Allograft cartilage in revision rhinoplasty

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I have used this material with a number of reconstructive cases with long term success. Let's hope you will not need another revision surgery. 

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Revision rhinoplasty with freeze dried allograft.

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Choose the best revision rhinoplasty surgeon--not the material.  Each hhas pros and cons. Let the surgeon guide you. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Freeze Dried

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Sure!  Mile High is a great tissue bank and I have used freeze dried tissues for many years. I have use allografts many times to reconstruct noses.

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Implant Materials

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It all depends on what you want to correct on your nose. Each type of implant whether ear cartilage, septal cartilage, rib or alloplastic material such as gortex has its place in rhinoplasty sugery. Your surgeon should be comfortable using the implant material he/she suggests. Remember it's not the material that matters - it's the surgeon.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.