Hi I did a consultation for rhinoplasty. I really want to get this done , but I'm a little on the fence considering that the surgeon I consulted with told me he may have to harvest cartilage from my rib considering that I had a septoplasty turbinate reduction surgery a few years ago. My question is this necessary and is this the only way to obtain a rhinoplasty, I not comfortable with this and would like to know what are my options. your response is appreciated.
Answer: Revision rhinoplasty Thank you for your question. This is a concern that comes up often. Rib cartilage, either from you or a cadaver, is sometimes used in rhinoplasty to give more strength and support to the nose. This is most often the case in revisions if the septum and supporting cartilage of the nose have been weakened. Unfortunately, it's difficult to tell with absolute certainty if rib will be needed until we see and can test the cartilage during surgery. Fortunately, harvesting rib cartilage is fairly straightforward, and usually only a small piece is needed. The best option may be to seek consultation with a few other surgeons and hear their assessments. I hope this helps, and all the best. -Dr. P
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Answer: Revision rhinoplasty Thank you for your question. This is a concern that comes up often. Rib cartilage, either from you or a cadaver, is sometimes used in rhinoplasty to give more strength and support to the nose. This is most often the case in revisions if the septum and supporting cartilage of the nose have been weakened. Unfortunately, it's difficult to tell with absolute certainty if rib will be needed until we see and can test the cartilage during surgery. Fortunately, harvesting rib cartilage is fairly straightforward, and usually only a small piece is needed. The best option may be to seek consultation with a few other surgeons and hear their assessments. I hope this helps, and all the best. -Dr. P
Helpful 1 person found this helpful
Answer: Rhinoplasty Hello! Thank you for your question. As far as I can understand from your question this is going to be your second nose surgery. That is why your surgeon might need a extra cartilage from your rib. Your nose anatomy is changed fully and your surgeon cannot sure what is in it. He needs to cartilage for reshape your nose. Best Regards!
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Answer: Rhinoplasty Hello! Thank you for your question. As far as I can understand from your question this is going to be your second nose surgery. That is why your surgeon might need a extra cartilage from your rib. Your nose anatomy is changed fully and your surgeon cannot sure what is in it. He needs to cartilage for reshape your nose. Best Regards!
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March 15, 2023
Answer: Rib Harvesting Hi there! This is an excellent question. Rib harvesting is sometimes necessary in revisions if the septum and supporting cartilage of the nose have been weakened. This will give more strength and support to the nose. Rib harvesting is fairly straightforward and commonly used in revision procedures. Best of luck to you!
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March 15, 2023
Answer: Rib Harvesting Hi there! This is an excellent question. Rib harvesting is sometimes necessary in revisions if the septum and supporting cartilage of the nose have been weakened. This will give more strength and support to the nose. Rib harvesting is fairly straightforward and commonly used in revision procedures. Best of luck to you!
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February 3, 2023
Answer: Rhinoplasty Hello and thank you for your question. I do agree that an alternate source for cartilage is necessary once you've had a septoplasty and your septal cartilage can no longer be harvested. However, I would much rather utilize a donor/cadaver cartilage graft instead of making an incision along your chest to harvest rib cartilage with a subsequent risk of injury to your lung. I commonly utilize MTF (Musculoskeletal Transplant Foundation) cartilage for all my revision rhinoplasties and/or primary rhinoplasties in patients who have undergone a prior septoplasty. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on rhinoplasty, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon
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February 3, 2023
Answer: Rhinoplasty Hello and thank you for your question. I do agree that an alternate source for cartilage is necessary once you've had a septoplasty and your septal cartilage can no longer be harvested. However, I would much rather utilize a donor/cadaver cartilage graft instead of making an incision along your chest to harvest rib cartilage with a subsequent risk of injury to your lung. I commonly utilize MTF (Musculoskeletal Transplant Foundation) cartilage for all my revision rhinoplasties and/or primary rhinoplasties in patients who have undergone a prior septoplasty. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on rhinoplasty, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon
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January 26, 2023
Answer: Is a rib cartilage graft necessary for a rhinoplasty after a septoplasty? Is a rib cartilage graft necessary for a rhinoplasty after a septoplasty? it depends entirely on what the nose looks like and what the goal is. If you have a large nose and now require essentially a standard reduction rhinoplasty, there is no need for rib Cartilage. If on the other hand the nose is very crooked, or too small, or for some reason needs to be built up, And needs cartilage to do this, then depending on the circumstance Cartilage from the ear or rib might be needed. If you show some pictures of your nose a more specific answer would be possible.
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January 26, 2023
Answer: Is a rib cartilage graft necessary for a rhinoplasty after a septoplasty? Is a rib cartilage graft necessary for a rhinoplasty after a septoplasty? it depends entirely on what the nose looks like and what the goal is. If you have a large nose and now require essentially a standard reduction rhinoplasty, there is no need for rib Cartilage. If on the other hand the nose is very crooked, or too small, or for some reason needs to be built up, And needs cartilage to do this, then depending on the circumstance Cartilage from the ear or rib might be needed. If you show some pictures of your nose a more specific answer would be possible.
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January 19, 2023
Answer: Depends on your goals If you need to restructure, add support and reconstruct the internal anatomy which serves as a foundation for the skin envelope then the surgeon would need building blocks. A good source is septum. Considering you do not have that alternate sources include ear and cadaveric cartilage. Everyone has their own style and recipe. The key is to structure a plan that meets your needs and goals!
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January 19, 2023
Answer: Depends on your goals If you need to restructure, add support and reconstruct the internal anatomy which serves as a foundation for the skin envelope then the surgeon would need building blocks. A good source is septum. Considering you do not have that alternate sources include ear and cadaveric cartilage. Everyone has their own style and recipe. The key is to structure a plan that meets your needs and goals!
Helpful