For Revision Rhinoplasty is it best to use own rib or donor rib?

I prefer donor rib to own rib. Both are reasonable and it is up to your and the surgeon's preference, but harvesting your own rib means a scar on your chest, additional postoperative pain, and a risk of pneumothorax. If you are a small person or depending on your age, there is a chance your own cartilage won't be of the best shape or quality for revision surgery. There is also some data suggesting less warping of donor rib.

Hello! Great question. This topic stimulates some debate between surgeons. I prefer to use your own rib as the rate of infection is lower and it's more compatible with your own tissues since it's yours. There is a risk of warping with younger patients as less calcium exists within the rib (helps provide rigidity). Donor rib is not living tissue so-to-speak and that bothers some patients. For Asian patients with flat noses, rib is needed and your own provides a plentiful source in most cases. Look at the pros and cons of each like you're doing. Hope this helps!

Hi @Peaceful98676! Rib harvesting is sometimes necessary in revisions if the septum and supporting cartilage of the nose have been weakened. This will give more strength and support to the nose. Autologous rib grafting is preferred. Best of luck, Dr. Nima!