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

anna85Jul 22, 2014
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,

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Apr 7, 2018
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1 person found this helpful
Dr. Tom D. Wang, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Nov 3, 2014
Answer
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Jul 23, 2014
Answer

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R. Stephen Mulholland, MD (retired)

Dear JLlulish, In general, a rhinoplasty surgery that involves a fracturing of the nasal bones is most safely performed with a fully certified anaesthesiologist protecting your airway and lungs from backward flow of blood from the rhinoplasty procedure, either from the broken bones or from work...

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Richard W. Fleming, MD (retired)

Because you don't mention when your surgery was done, let me first suggest that you wait about 1 year for a revision. The nose can be lengthened  and bulk added to the tip; this is not a simple procedure - select a surgeon who specializes in revision rhinoplasty work.

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Babak Azizzadeh, MD, FACS

Ideally, rhinoplasty requires structural support to allow a long-lasting outcome. My preference is always to use one's own cartilage and avoid synthetic material such as medpor. Typically the septal cartilage is an ideal option, if available, for tip rhinoplasty. The ear and rib cartilage can...

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