Can Rib Cartilage Warp After Healing is Done?

Hi, I have a question regarding rib cartilage use in bridge repair. Can rib cartilage warp after the healing is done ? because I heard dat Rib cartilage wil adjust to your own nasal bones... So does this also mean that when the healing is done (adjustment of the rib cartilage to the bone) it can not warp anymore and also not shift anymore?

Doctor Answers 7

"Rib Cartilage Graft for nose surgery"

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A rib cartilage graft can warp beyond what you would like it to and may change past the period of healing of your nose.  That said, there are techniques to ensure that you have minimal warp or change to the rib graft after the surgery.  The graft generally does not conform to the bone, but rather needs to be shaped properly at the time of surgery.  One technique that helps prevent graft warp is to run a rigid metal wire, called a K-wire, down the core of the graft.

San Francisco Plastic Surgeon
4.8 out of 5 stars 44 reviews

Rib Cartilage Warps After Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


Rib cartilage can warp after Rhinoplasty based on a poor technique during the surgery.

That being said, there are other sources of cartilage donors for autologous grafting such as the nasal septum and the ear.

Some surgeons prefer to use silastic or gortex implants instead of cartilage.

At the end, every patient is different and so every surgery will be; commendable results require exceptionally skilled surgeons to establish them.

I hope this helps.

Thank you for your inquiry.

The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Can Rib Cartilage Warp After Healing is Done?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Yes, IMHO rib cartilage, rib bone, calvarial bone and irradiated cartilage all have the tendency to dissolve unevenly (appears as warping) creating dips and depressions.  I prefer using a straight, silastic dorsal grafts for building up the nasal bridge.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Rib cartilage warping.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes rib can warp and is painful.  Also it has many complications and therefore for35 years I have used septal and then ear cartilage. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Can Rib Cartilage Grafts Warp When Used in Nasal Bridge?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, a solid piece of rib cartilage can warp after placement on the nasal bridge. For this reason I prefer to use diced cartilage for rib augmentation.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rib Cartilage

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes rib cartilage can warp over time. That's why many surgeons prefer to use other sources of implant material such as silastic or gortex implant.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Cartilage and warp

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There can be some warp of rib cartilage.The key is the position at the time of placement.Some adjustments can be made in the operating room at the initial surgery.

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.