How would a 'second rib harvest' work during revision rhinoplasty?

I have already had one revision rhinoplasty with rib harvest (5th rib breast crease). If I need more rib cartilage will it come from the same incision? Or a different incision?

Doctor Answers 3

Secondary rib harvest

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Thanks for your question. Sounds like your nose has had a difficult time! Rib cartilage can warp and cause deformities that need to be revised. Most of the warping is evident in the OR, but a small but significant amount can occur with time. 

If additional rib cartilage is needed, your surgeon can go through your previous incision. That incision gives you access to several ribs (like 6, 7, and 8). You just do the dissection under the skin a little lower after the incision was made. Good luck with everything!

College Station Facial Plastic Surgeon

2nd rib graft

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Thank you for your question.

There are few options:

1.  Going through the same incision and harvesting from the same rib if available.

2.  Harvesting cartilage from another rib through the same incision or another incision.

3. Irradiated rib cartilage (not yours)

Good luck and I hope you don't need more surgery.

Raj P. TerKonda, MD, FACS
Phoenix Facial Plastic Surgeon
5.0 out of 5 stars 2 reviews

Second rib harvest

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you don't need a second rib harvest because now you can take advantage of organ donated rib material; this material has proven as good as your own rib; please see results below.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 106 reviews

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