Does harvesting cartilage from the septum weaken or destabilize the nose?

Question

I have read that the septum provides support for the nose. Does this mean that taking cartilage out from the septum for the use of grafts in other parts of the nose (e.g. tip grafts) weakens the nasal framework? Also, does harvesting septal cartilage carry any risks or complications, either functional or aesthetic? Thank you for your time.

Kenneth Hughes, MD · Answer

A strong strut is always left behind that is adequate to support the nose.Find a board certified plastic surgeon who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

When harvesting cartilage for grafting purposes or to improve breathing a 1 cm strut of cartilage is left underneath the bridge and the caudal septum or tip of the nose for structural integrity.

John Frodel, MD · Answer

Septoplasty is commonly performed in conjunction with rhinoplasty, as is septal cartilage graft harvest.  If done properly, there should be no impact on structural support.  Many surgeons are actually using the grafts to reinforce support in addition to grafting for cosmetic purposes.  As always, the key is surgeon experience and I would recommend a rhinoplasty surgeon well-versed in functional rhinoplasty as they are keenly aware of the issues concerning you.

Does harvesting cartilage from the septum weaken or destabilize the nose?

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Does harvesting cartilage from the septum weaken or destabilize the nose?

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