What Are the Implications of Having Weak Nasal Cartilage in Rhinoplasty?

Cartilage and bone are the two types of tissue that provide support to the nose. If a patient has "weak" cartilage, then several different techniques must be used in order to both provide the appropriate amount of nasal support and to produce the cosmetic result desired. Suture techniques and cartilage grafts are the two most commonly used methods for creating nasal support or "strength" in rhinoplasty surgery. A columellar strut is a good example of a cartilage graft that is usually taken from the nasal septum and placed between and below the tip cartilage in order to increase nasal tip height, projection and support. When done properly and in combination with suture techniques, this should create an appropriately sized and aesthetically pleasing nose.

Hi from Istanbul, thanks for your question. Having strong nasal cartilages is crucial in rhinoplasty as they provide essential support, particularly in the tip area, creating more defined nose contours. Common issues, especially in ethnic rhinoplasty patients and those with thicker skin, include depressed, flat noses with poor definition and bulbous tips. These problems often stem from weak or inadequate cartilage. To enhance and refine these areas, to help support the new shape of the nose, cartilage grafts are typically used. Hope this helps.

If you have weak nasal cartilage in the tip, then removing too much of it could lead to collapse of the nostrils and problems breathing. You mention that usually it requires cartilage grafts. I disagree with that. I use cartilage grafts only occasionally and almost never with a primary ( first time ) rhinoplasty.