How would a *second* rib harvest revision rhinoplasty work?

I already had a rib harvest rhinoplasty and it wasn't lengthened enough. If I needed more rib then would it come from the same incision? Which rib would be chosen for a second harvest?

Doctor Answers 4

Rib grafting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Another rib may be obtainable from the same incision, but probably not.  An exam would determine this.  If the nose needs to be lengthened, the old graft may be able to be repositioned or may need to be discarded and a new graft put in.  Occasionally, the graft can be added onto.  If you already had rib inserted, it is doubtful that native (septal) cartilage would be available or have the structural integrity to lengthen in a revision.  Seek out an expert in your area for a consultation. Best wishes.

Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Rib revision

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Rib revision can be done easily without use of your ribs. We utilize organ donated ribs that are very affordable and avoid use of your rib. Please see results below.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 108 reviews

Rib harvest revision rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If you need that much more cartilage you have to wonder if lack of Cartlidge is the issue or if there's something wrong with the soft tissue envelope around the bone and cartilage of the nose. Most likely had multiple surgeries. I think your revision rhinoplasty issues are likely too complex to get good information here. I'd suggest you get in person evaluations with people like Dean Toriumi, MD Chicago or Umang Metha, MD Menlo Park or Sam Most, MD Palo Alto or Donald Yoo, MD of Beverly Hills.

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

Harvesting More Rib Cartilage for Revision Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

First I question if more rib cartilage is necessary. I'd only recommend that if no septal or ear cartilage is available. Another choice might be to reposition the extension graft that is in place. Discuss your options with your surgeon. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.