Removing Rib Cartilage from Nose - Is this feasible? What are the risks?

Question

I had a revision rhinoplasty apprx 1 yr ago. During the revision, extensive rib cartilage grafts were used in my nose. The outcome is a bulky, poorly defined, stiff, bulbous, and very uncomfortable nose that feels like a foreign object on my face. It is extremely uncomfortable and aesthetically a failure. The grafts also move, click, and pop - with nearly any facial animation and my smile is completely ruined. I want to have these grafts removed. Is this feasible? What are the risks?

Nima Shemirani, MD · Answer

Hi @rsresearch02! I recommend seeing a revision rhinoplasty specialist for in person examination. There are options for you that can be determined after examination. The grafts can definitely be removed and replaced with diced cartilage. Best of luck, Dr. Nima!

Thomas A. Mustoe, MD, FACS · Answer

Unfortunately rib grafts can be stiff and bulky and can be removed safely and the nose supported with thinner grafts and profile maintained with diced cartilage which is more flexible and delicate. Usually some septum is left that can be used to support the tip.  When consulting bring a copy of OR notes and preop photos.  I would suggest more than one consultation.

Jeffrey H. Spiegel, MD · Answer

Some doctors are very quick to over fill the nose and create a stiff, unnatural result.  This is addressable.  Grafts can be softened, removed, or replaced with crushed cartilage and other materials that will feel more natural.

Removing Rib Cartilage from Nose - Is this feasible? What are the risks?

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