Rib cartilage or silicone replacement for revision rhinoplasty? (photos)

Question

Hi doctors, I got my nose done twice 10 years ago. At first, I only got the silicon implant. At the second, I think that the doctor did a skin excision from my head to do the tip but I'm not sure... Now some doctors suggested me to use rib cartilage, while others recommended me high soft silicon, combined with osteotomy to correct the deviation. Based on my pictures, could you please tell me which material is better? which procedure could you recommend please? Thank you in advance,

Steven Wallach, MD · Answer

I think that using your own rib or irradiated rib is probably beter than a silicone implant. Best of luck with your revision.

Tom D. Wang, MD, FACS · Answer

We generally recommend using the patient's own rib cartilage for revision rhinoplasty due to low risk of complications.  Based on your photos, you may be a good candidate for rib cartilage dorsal augmentation and tip refinement.  Best of luck to you.

Richard W. Fleming, MD (retired) · Answer

I've avoided the use of silicone implants for over  years because of the possible complications you've experienced. I prefer to use the patient's own cartilage but rarely is it necessary to make an incision in the chest to harvest ribs. It is much easier for the patient and surgeon to use septal or ear cartilage.

Rib cartilage or silicone replacement for revision rhinoplasty? (photos)

Answers (3)

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.

Rib cartilage or silicone replacement for revision rhinoplasty? (photos)

Answers (3)

Browse related questions

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.