Reshape bone below onlay graft?

Question

Hello, I have one question. If an onlay graft (solid rib lamina) is put on the dorsum and after healing there is a noticeable hump because the bone below was not reduced enough, is it possible to reduce the high of the bone below that graft at 1 year post op and put the onlay graft back so the hump disappears?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I don’t use solid onlay grafts as they frequently have contour irregularities, mobility, and problems. When placing an onlay graft, I prefer diced cartilage wrapped in fascia. It usually has a much smoother longterm contour.   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

Reshape bone below onlay graft?

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Reshape bone below onlay graft?

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.