Need a revision rhinoplasty?
Doctor Answers 4
Revision rhinoplasty candidate
A revision rhinoplasty can accomplish shaving down a slight polybeak, addressing the inverted V deformity with osteotomies and spreader grafts. The spreader grafts should also help with the internal valve collapse. If there is a cartilage depleted nose, then ear cartilage would be used. Look for a surgeon with extensive experience in rhinoplasty and revision rhinoplasty for best results.
Revision rhinoplasty with multiple issues.
Revision rhinoplasty with multiple issues. See several revision rhinoplasty surgeons and look at their results. I as well as other very experienced revision rhinoplasty surgeons rarely use rib grafts Have several consultations and pick the surgeon you feel comfortable with and does revisions you like.
If you need extensive grafts especially for dorsal augmentation, then rib cartilage may be necessary. I have used irradiated cartilage in many cases when the patient prefers that I do not harvest it from their own chest.
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The best graft source for the secondary rhinoplasty is the septum as long as it is available. Ear cartilage is the second best choice for the nose tip graft. On rare occasions it may be necessary to harvest the rib cartilage for the spreader grafts and the columella. Some surgeons almost routinely use rib graft. This often is unnecessary. You may want to consult a few surgeons who specialize in secondary rhinoplasty and choose the one who seems to be the best match for you and you are most comfortable with.
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.