Revision Rhinoplasty After Having Rhinoplasty and Septoplasty

With revision rhinoplasty, grafts are often used to repair the nose if there is cartilage missing from the prior procedure(s). Grafts are most commonly fashioned from your own cartilage.  Cartilage can come from the body and the septum is the most common source. I have found that despite having a septoplasty with the rhinoplasty, many people still have enough septum for revision. Other sources of cartilage are the ear (done in such a way that does not change the appearance of the ear), or a portion of the rib. Occasionally cadaveric rib can be used as well and some artificial implants. 

 

I would recommend that you do your homework and visit with surgeons that have experience with revision rhinoplasty until you feel comfortable that you are in the right place.

It depends on how much cartilage was left in your septum.  Some surgeon will dictate that in their operative note.  Depending on what needs to be done additional cartilage from the ear or rib may be required.

I read your concern. If you would require cartilage grafting for revision rhinoplasty, and if your septal cartilage is deficient, your surgeon may use rib cartilage, irradiated-cadaver rib cartilage, or ear cartilage.

In my practice, I can usually tell if there is adequate septal cartilage in the office, before surgery. While viewing your septum with a headlight and nasal speculum, I will gently push on the septum with a cotton-applicator. If your septum feels very soft, and mobile, then you might not have enough for grafting purposes. If your septum feels firm and immobile, you may have enough for your procedure.

I hope this is helpful for you.

Regards from NJ: