Is rib cartilage necessary for my revision rhinoplasty and how safe is it? (Photo)

Question

I have had two rhinoplasties. Despite the second one being more successful than the first, my nose is still uneven, and the tip is undefined. I was told that to correct the issue, we would need to use rib cartilage, but the recovery after this procedure is long, and the swelling can be quite severe. I was wondering if the use of rib cartilage is necessary and how likely it is for the outcome of a third revision to be successful?

Erin Smith, MD · Answer

Hello and thank you for your question. Whenever a patient is considering surgery, a number of factors should be considered including the desired outcome and what a reasonable expectation of results would be. Further, the details of previous surgeries are crucial to factor in what can be/needs to be done during subsequent procedures. Autologous rib grafts (grafts from ones self) are commonly used in complex or revision cases due to the large volume of material supplied as well as strong potential for structural support. All procedures carry their own potential risks and it is important to discuss these risks as well as the likelihood of a successful in detail with your surgeon prior to surgery.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I prefer to use MTF Cartilage for revisions in my practice when there is not septal cartilage present. I have done this in thousands of patients and it is extremely safe and effective technique. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty 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

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial and nasal photographs from all angles in order to make a determination about how best to proceed. Copies of the operative reports would also be helpful to find out what maneuvers were performed in the 2 previous rhinoplasty procedures. It's also important to know how much cartilage is left on the inside of your nose for grafting purposes, before using any rib cartilage. Always use nasal cartilage as the primary grafting source if it's available.

Is rib cartilage necessary for my revision rhinoplasty and how safe is it? (Photo)

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Answers (3)

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