Are Grafts for Nose Implants Taken from Patient's Body?

When grafts are needed for nose implants, are they usually from the patient's own body?

Doctor Answers 10

Grafts for rhinoplsty

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The best grafts used for nasal surgery or rhinoplasty will often come from your own body. Such locations as the nose itself (septum), the ear and the rib, are the primary locations from which cartilage is harvested. If a patient does not have sufficient amounts of their own cartilage available (due to previous surgery or injury) then alloplastic (synthetic) materials may be used. These plastic-like materials are not preferred to the natural cartilages of the body due to their higher infection rates. However, they certainly are an option for nasal surgery in the absence of your body's own cartilage.

Please consult with a board certified plastic surgeon prior to a rhinoplasty or revision rhinoplasty procedure.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 410 reviews

Grafts for nose implants can be from patient's own body or a synthetic implant

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Both natural grafts of cartilage taken from within the nose or the ear can be used to augment the nasal bridge. Some of these grafts are also used to bolster the tip, rim, mid bulk of the nose, or as spreader grafts. Occasionally on Asian noses, synthetic Silastic implants can be used to augment a preexisting nasal bridge that is very low.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Rhinoplasty and Grafts

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A nasal implant is something that is taken from off the shelf and placed into the area of need.

A nasal graft is something that is taken from your own body and placed into the area of need. Nasal grafts included cartilage from the septum, ear and ribs. These tend to hold up better over time as compared to the implants.

Hope that answers your question.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Cartilage grafts to the nose vs synthetic grafts

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A graft is a material that is placed in an area from which it did not originally come from. There are many different types fo grafts. Grafts that come from your own body are called autologous grafts. An example of this is when rib cartilage is used to rebuild a nose. Synthetic grafts are those which are not made of living tissue and are manufactured in a lab. An example of this is silicone.

Today, grafts are used in rhinoplasty to both reshape the nose, and re-enforce the nose so that it is built to last (i.e so that it will not collapse or be detrimental to breathing after a rhinoplasty procedure). Grafts are also frequently used in revision rhinoplasty in order to repair a damaged nose.

That being said, grafts to the nose can be synthetic or autologous. Most commonly, autolgous grafts are taken from the patient's own septum. However, if more cartilage is needed or the septum is missing, then other forms of cartilage must be used. Common locations, other then the septum, are from the ear and rib cartilage. The decision on what to use will depend on the amount of grafting that needs to b done and the surgeon's preference.

Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
4.9 out of 5 stars 71 reviews

Nasal grafts provide support shape and stability

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A nasal graft is distinguished from a nasal implant in that a graft is living tissue taken from another area in the body to provide shape and support in the nose. The most common tissue of need in nasal surgery is cartilage and most often the septum deep inside the nose will have enough "extra" cartilage to supply that need. There are other places to borrow the cartilage though the septum most often suits the bill.

There are two ways to use a graft in the nose. The graft can be invisible, that is placed in the nose to improve the airway or support the tip in a way that the graft tissue is not seen on the outside. The graft may also be a visible graft which fills or raises the bridge of the nose, or gives the actual shape of the tip as seen through the skin. How ever they are used, they heal in place to become a living part of the nose providing support and shape. After healing it is unlikely you will know that they are there.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Yes they are.

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 Foreign material has many more associated problems than your own tissue. This usually comes from the inside of your nose. See an experienced rhinoplasty surgeon to guide you.

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

Grafts for nasal surgery

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Most surgeons agree that grafts from your own tissue usually provide the best result with the least complications. Most commonly the cartilage from the septum is used as a first choice, with ear cartilage or rib cartilage or bone as backup.

Stanley G. Poulos, MD
Greenbrae Plastic Surgeon
4.5 out of 5 stars 30 reviews

Grafts for nose implants

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Dear Ade120,

In the VAST majority of cases rhinoplasty cartilage grafts are borrowed from the patient's own body. The reasons are convenience, most donor sites (nasal septum and ear) are close by. The body tolerates its own tissues and will never reject them. Biological tissues have a much lower rate of infection or of being pushed out (extruded) and finally, it saves money - all other implants are somewhat expensive.

While there are times when ALLOPLASTIC (man made implants) are used, they require special indications and are usually used in cases where the nasal septum and ears have already been used.

Hope this was helpful.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Source of Nasal Grafts

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Grafts for nasal surgery are most often taken from the patient's own body. They are harvested from the septum, the ears, or the ribs. Some surgeons use cartilage from others which has been irradiated.

Silicone and gortex are examples of other materials which are placed in the nose. The choice of technique depends on the amount of augmentation needed and the surgeon's recommendation. I prefer harvesting the patient's own tissue.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Grafts come from many sources

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Most grafts use in rhinoplasty come from the patients own body. Depending on what needs to be grafted, the size and number of grafts, sources differ. In descending order, my personal preference are the patient's own nasal septum, ear cartilage and sometimes rib cartilage.

Other materials also can be used when more is needed or in special circumstances. These are inert implant materials that have been used safely for many years. The most commonly used materials are Gortex, Medpor and Silastic (solid Silicone). Your surgeon can discuss the indications and benefits of each of the above grafts.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 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.