The use of conchal cartilage in restoring cephalic strip to enhance the size of tip orientation.

Question

I underwent a primary rhinoplasty that which entailed the removal of the complete cephalic strip, as well as the application of two transdomal sutures to the medial crura. My revision will involve the use of ear cartilage that will span 6mm to 7mm to be applied to the lower lateral cartilage domes, and the unsuturing of the medial crura accompanied with a septal columella strut to separate the medial crura. How effective is ear cartilage in replacing a missing cephalic strip?

Holger Gassner, MD, FACS · Answer

Your nose warrants a very diligent examination. As far as I can tell form the photos, the cartilage that is missing in your nose will need replacement. The decision where to harvest the cartilage from would be made during surgery. Nasal septum or ear cartilage are the likely choices. Your nose can be corrected through an endonasal approach, the incision accross the columella can be spared.

Edward Farrior, MD · Answer

The appearance of the tip of your nose is due to the vertical orientation of the lateral crus of the lower lateral cartilage.   I woulld discouragee over resection of the cephalic margin of this cartilage because it will  create retraction  of the nostril margin and a surgical appearence.   The lateral crus of your  lower lateral cartilage needs to be  reoriented in a more horizontal position and  refined.  This willl improve the nostril margin as well as refinement the width of the nasal tip.  Cartilage  grafting is sometimes necessary to achieve this change.  Since you have had previous nasal surgery it is hard to say that  adequate cartilage which still exist inside  the nose and cartilage may need to be harvested from the ear or rib.

The use of conchal cartilage in restoring cephalic strip to enhance the size of tip orientation.

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Everything you need to know about Revision Rhinoplasty

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The use of conchal cartilage in restoring cephalic strip to enhance the size of tip orientation.

Answers (2)

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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.