Rhinoplasty - Rib Cartilage Absorption

Question

Hello, I recently had an augmentation rhinoplasty with my own rib cartilage and the surgeon purposely over-augmented the graft to compensate for absorption. I think it looks too big now at 10 days post op. So, I was wondering what factors determine how much rib cartilage is absorbed? Thank you very much

Thomas A. Lamperti, MD · Answer

I agree with the others that rib cartilage doesn't typically resorb. You will have significant swelling of the overlying skin and soft tissues, though, that would give the appearance of over-correction. You have to give it time to heal and evolve.

Steven Wallach, MD · Answer

I usually use a graft of the exact size I want.  I do not think that they resorb too  much.  However, what you may be experiencing is soft tissue swelling and I would give it time to resolve.

Mohsen Tavoussi, MD, DO · Answer

It is too early to worry about cartilage absorption. This, if occurs, may take a long time. Healing will take over a year or so and there will be a lot of swelling particularly after revision rhinoplasty.

Darryl J. Blinski, MD · Answer

This was a major surgery and at 10 days very hard to tell if a cartilage rib graft is to large. Be patient to allow healing over the next 6 months. Resorption occurs SLOWLY so continue with your visits with your chosen surgeon at least once a month.

Michel Siegel, MD · Answer

In my experience there is no visible resorption of rib cartilage. If it looks too big it may be from swelling of the skin envelope, the graft is too big, or it is mal-positioned. 10 days may be too early to tell, unless you submit photos.

	Michel Siegel, MD

Rhinoplasty - Rib Cartilage Absorption

Answers (9)