Cartilage dissolving after 7 years

Question

I've undergone 4 rhinoplasties. The 1st was unsuccessful, leading to a redo. The 2nd was perfect until the tip shrank, leading to a 3rd surgery, which was poorly done, making the splint visible at the tip. The 4th required ear cartilage for reconstructing the nose's spine and tip, which was initially successful. 7 years later, the cartilage has seemingly dissolved, leaving a lopsided tip. With a history of complications, I'm cautious about further surgery. Advice on proceeding?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Ear cartilage generally does not work well because it lacks structural stability. I would recommend MTF cartilage for your revision instead. I use this for all revisions when septum is not present. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Cartilage dissolving after 7 years

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