Revision Rib Rhinoplasty? (photo)

I'm asian,had diced rib cartilage(D-RC)rhinoplasty 5mths ago to augment my bridge and tip but it isnt enough.Planning to have revision with bloc rib cartilage as DRC cant resist d skin pressing downward.A doc i consultd said revision is difficult with all the DCR/scar tissues(unpredictable outcome).he said i may not hav enough RC since I'm 26 y/o(most RC has ossified+operated b4).if RC’s not long enough,is it possible to join 2 pieces of carved RC together?Is this revision with RC bloc do-able?

Doctor Answers 5

Rib graft in revision rhinoplasty

Revision rhinoplasty with rib cartilage is very difficult and can be fraught with complications even in experienced hands.  It may be best to leave well enough alone since the height of the bridge is quite acceptable.  Remember rib cartilage can warp over time resulting in the need for yet another nasal surgery.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Revision Asian Rhinoplasty

Depending on how much height you are wanting to achieve, there generally is sufficient rib cartilage to build up the nasal height for Asian Rhinoplasty surgery.  Your revision surgery will be challenging, but should be doable.  Please consult with a board certified specialist who can assist you in achieving the results you seek.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Dorsal cartilage with rib

Rib cartilage is sufficient in most cases.  I would also consider a non-surgical nasal enhancement of the dorsal bridge at this point.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Nasal Revision with Rib cartilage

You have a lot of residual rib cartilage to further augment your nose whether strips or more diced material are used. If you have doubts about your previous consultation you can get a second opinion. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Availability of rib cartilage for rhinoplasty

You should have plenty of rib cartilage available for harvest, especially if you have only had one previous surgery.  There are a number of potential ribs that can be harvested, and it's unlikely you had more than one harvested during the initial operation.  

Your revision will be a challenging one, but one that is technically feasible.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

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.