How long does an Asian rhinoplasty last that requires autologous cartilage graft?

Question

Hi Doctors I am thinking about getting a higher nose bridge and improved nose tip. From my research I prefer getting an autologous cartilage graft because gortex would normally slide down my nose due to gravity over time which means corrective surgery will be required. I am hoping that my own cartilage would fuse with my nose avoid that problem. Just wondering would my own body absorb my own cartilage instead? Thanks

William D. Losquadro, MD · Answer

A large volume of grafting material is often required in Asian rhinoplasty to raise the bridge and refine the tip. Enough septal cartilage is rarely available and rib grafting is often used.  There is virtually no resorption of rib cartilage over time so it is essentially permanent.

Donald B. Yoo, MD, FACS · Answer

The biggest advantage of using autologous grafts (tissue from your own body) is that after a few weeks, it becomes incorporated and becomes a living part of your nose.  Thus autologous grafts have a much lower rate of complications than synthetic grafts.  Cartilage from your own body, when handled properly during surgery, does not resorb and remains a permanent part of your nose.

Evan Ransom, MD, FACS · Answer

Thank you for the question. In general, use of your own tissue (i.e., autologous) is preferred for nasal surgery. For most cases, this is a combination of cartilage grafts harvested from the septum, ear, and/or rib. In certain patients, fascia (connective tissue) from behind the ear or the temple region can be used to wrap or blanket the cartilage grafts. This adds some thickness and also camouflages small irregularities. Rarely, some of the cartilage will resorb -- meaning that the body dissolves it during the healing process. Obviously this doesn't happen with implants, but the risk or infection, displacement, or extrusion is much higher with foreign materials (such as goretex or silicone). Best of luck moving forward!

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

Using your cartilage is a very good option for augmentation rhinoplasty. The graft is a living graft and there is very little absorption with time. There is a theoretical risk of warping of the graft with time. Be sure to have your nose evaluated by a board certified facial plastic surgeon.

Frederic H. Corbin, MD (license restricted) · Answer

Autologous tissue is the preferred choice for bridge elevation because of a lower incidence of infection associated with gortex or silicone though certainly the latter are more commonly usedDr Corbin

Richard W. Fleming, MD (retired) · Answer

Over the past 35 years I've always preferred using the patient's own cartilage to avoid the problems associated with synthetic material such as infections, movement, and extrusion. I've never seen a patient who had absorption of their own cartilage.

How long does an Asian rhinoplasty last that requires autologous cartilage graft?

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