Is It a Good Idea to Use Banked Rib Cartilage?

This is a very common question regarding revisionary rhinoplasty and the need for additional cartilage. Banked cartilage is from a cadaver (via organ donation) which is then treated with radiation to help remove any "cells" leaving only cartilage behind.  This is a easy source of cartilage (it comes off the shelf), but there are high rates of resorption with this approach. You body will recognize some of the microscopic components of this as "foreign" and slowly break down this cartilage over time. Results are much more likely to change and erode with this technique.

The alternative is to use your own rib cartilage as there is no response to your body from this approach - it's your own tissue. Harvesting this cartilage does require an extra incision and some postoperative pain, but the results will likely be much longer lasting.  This technique is well proven and very safe.  The last thing you want to do with revision rhinoplasty is have a second, unwanted surgery relating to the progressive loss of cartilage that could have been prevented. Discuss this in detail with your surgeon to help understand all of the details.

See and experienced rhinoplasty surgeon.

Best of luck,

Vincent Marin, MD

 I have performed Rhinoplasty for over 20 years and IMHO, NO...banked cartilage, bone from rib, ear or wherever dissolves unevenly over 5-15 years and should never be usde in Rhinoplasty...again, IMHO.  Your own cartilage and bone will also dissolve unevenly but at a slower rate.  Do a google search on uneven absorption of irradiated (banked) and rib cartilage in Rhinoplasty as this subject has been well reserched in the plastic and cosmetic surgery literature and has been for many years.  I recall reading papers, on this subject, in the mid 1980's so I am always amazed that Rhinoplasty surgeons continue to use this material.  I have taken out many, of these grafts, placed elsewhere during Revision Rhinoplasty.

For nasal tips, conchal cartilage is the best and for the nasal dorsum...I prefer septal cartilage or a straight silastic implant.  Hope this helps.