I had Rhinoplasty and my surgeon cut the nose and made my bridge small. If I want it larger, is there a way to ADD a rib graft? Or would it have to be replaced completly? Can the nose be made as big as the patient desires, or are there limitations?
September 22, 2009
Answer: Rib Grafting Yes, a rib graft can provide autologous (your own) support and contour enhancement to your nose. I use rib grafts when local resources are either depleted or their harvest would destailize the infrastructure of the nose. I prefer nasal septal cartilage but in many of the revisions I perform, the septal cartilage has already been used. I therefore typically move to the ear as a source, unless the ear cartilage is not adequate. My advice is to find a board certified Plastic surgeon with extensive exprience with reconstructive/revisionary cosmetic nasal surgery. Have them take a look and advise you accordingly. Good luck! Dr. C
Helpful
September 22, 2009
Answer: Rib Grafting Yes, a rib graft can provide autologous (your own) support and contour enhancement to your nose. I use rib grafts when local resources are either depleted or their harvest would destailize the infrastructure of the nose. I prefer nasal septal cartilage but in many of the revisions I perform, the septal cartilage has already been used. I therefore typically move to the ear as a source, unless the ear cartilage is not adequate. My advice is to find a board certified Plastic surgeon with extensive exprience with reconstructive/revisionary cosmetic nasal surgery. Have them take a look and advise you accordingly. Good luck! Dr. C
Helpful
September 22, 2009
Answer: Rib Graft to Enlarge Nasal Bridge The nasal bridge (a.k.a. dorsum) can be augmented with cartilage. Most commonly, this cartilage can be harvested from the nasal septum or the ears. If more cartilage is required or these sources are depleted, rib cartilage is the next (last) source. Some surgeons like bone (i.e. from the skull) or cadaver cartilage. Artificial materials can be used (Goretex, silicone) but I usually recommend avoiding these non-biologic materials in the nose.
Helpful
September 22, 2009
Answer: Rib Graft to Enlarge Nasal Bridge The nasal bridge (a.k.a. dorsum) can be augmented with cartilage. Most commonly, this cartilage can be harvested from the nasal septum or the ears. If more cartilage is required or these sources are depleted, rib cartilage is the next (last) source. Some surgeons like bone (i.e. from the skull) or cadaver cartilage. Artificial materials can be used (Goretex, silicone) but I usually recommend avoiding these non-biologic materials in the nose.
Helpful