How long does a Rhinoplasty with rib cartilage usually take?

Harvesting a rib from the chest wall takes about 60 minutes typically. The time consuming factor is what then needs to be done with the rib. We typically only use rib grafts in revision rhinoplasty cases or where there has been significant trauma to the nose. Typically opening the nose and preparing it for the rib graft takes many hours. It then takes time to carve the rib into the appropriate grafts and then to carefully stitch those into the correct positions. When you add all that up, the rib graft case takes from 3-8hrs, although I think about 5.5hrs would be an average amount of time.

Both answers
can be correct. It depends on the
surgeon and how extensive the surgery they plan to do is. In general open
rhinoplasty takes longer than closed rhinoplasty. A standard primary rhinoplasty should take
2-3 hours. Use of rib cartilage could imply that more complex structural work
is needed, hence a longer operative time. Also revision rhinoplasty can take significantly longer than primary
rhinoplasty. It depends a lot on the
individual nose and the extent of the changes being made.

4 hours is a long time but probably reasonable to do a complex rhinoplasty with a rib graft. Make sure you feel comfortable with your doctor and that you appreciate their results.