I have had doctors who recommend it so that my nose doesn't fall or create problems in the future, and others who say they won't use it. Will I have long term effects if they don't use graphs and/or a bridge? Thank you!
Answer: Nasal grafts Your question is a great one and requires some perspective. I’ve been doing rhinoplasties well over thirty years. When I started everyone did a basic closed rhinoplasty rarely with a graft and got great results. Then in 80s and beyond there was a switch to open rhinoplasties. As time went on surgeons started placing cartilage grafts here and there with very little thought about it’s purpose. They were just doing what they were taught. Now the absolute urge to place grafts is universal and really overboard if you ask me. They get nice results but so do I and I virtually never use a graft, the problem with grafts is that they leave the nose overly large and can make iI feel hard or stiff. Also the more grafts you use the greater the probability that one or more grafts will have a problem. The “ urge to graft” has made nasal surgery far more complicated and harder to learn. I see many patients who had cartilage grafts that are either too large or shift position when most didn’t need to the graft to begin with. Cartilage grafts have their place in rhinoplasty and good results can be obtained often using grafts or not. An overall assessment of the surgeons experience and results is a far more important criteria when selecting a surgeon.
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Answer: Nasal grafts Your question is a great one and requires some perspective. I’ve been doing rhinoplasties well over thirty years. When I started everyone did a basic closed rhinoplasty rarely with a graft and got great results. Then in 80s and beyond there was a switch to open rhinoplasties. As time went on surgeons started placing cartilage grafts here and there with very little thought about it’s purpose. They were just doing what they were taught. Now the absolute urge to place grafts is universal and really overboard if you ask me. They get nice results but so do I and I virtually never use a graft, the problem with grafts is that they leave the nose overly large and can make iI feel hard or stiff. Also the more grafts you use the greater the probability that one or more grafts will have a problem. The “ urge to graft” has made nasal surgery far more complicated and harder to learn. I see many patients who had cartilage grafts that are either too large or shift position when most didn’t need to the graft to begin with. Cartilage grafts have their place in rhinoplasty and good results can be obtained often using grafts or not. An overall assessment of the surgeons experience and results is a far more important criteria when selecting a surgeon.
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Answer: Always. Structural rhinoplasty calls for grafts in all patients, regardless of their appearance (as suggested by one surgeon answering your question). Any time surgical manipulation has occurred anywhere in your nose (tip or bridge), supporting ligaments have been severed and/or the cartilaginous structures have been destabilized due to reduction or repositioning. Grafts are very important in long term results and predictability. Grafts are usually obtained from the septum inside your nose for a primary rhinoplasty.
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Answer: Always. Structural rhinoplasty calls for grafts in all patients, regardless of their appearance (as suggested by one surgeon answering your question). Any time surgical manipulation has occurred anywhere in your nose (tip or bridge), supporting ligaments have been severed and/or the cartilaginous structures have been destabilized due to reduction or repositioning. Grafts are very important in long term results and predictability. Grafts are usually obtained from the septum inside your nose for a primary rhinoplasty.
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August 25, 2020
Answer: Structural grafting in rhinoplasty Thank you for the great question. Based on your description, I imagine you are describing spreader grafts. These are long, thin pieces of cartilage placed along the top of the septum under the nasal bridge to provide support for the middle third of the nose and prevent sagging/collapse here. This type of graft is not essential in every case, so without examining your nose, I can't say if it would be right for you or not. In general, patients with weaker cartilage or shorter nasal bones require this type of support. It is also needed when a larger bump is removed. Best of luck moving forward!
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August 25, 2020
Answer: Structural grafting in rhinoplasty Thank you for the great question. Based on your description, I imagine you are describing spreader grafts. These are long, thin pieces of cartilage placed along the top of the septum under the nasal bridge to provide support for the middle third of the nose and prevent sagging/collapse here. This type of graft is not essential in every case, so without examining your nose, I can't say if it would be right for you or not. In general, patients with weaker cartilage or shorter nasal bones require this type of support. It is also needed when a larger bump is removed. Best of luck moving forward!
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August 23, 2020
Answer: Rhinoplasty Thank you for your question. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. Whether to use grafts or not is totally dependent on your individual anatomy. That is the beauty of doing noses, no two are the same. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate their on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.
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August 23, 2020
Answer: Rhinoplasty Thank you for your question. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. Whether to use grafts or not is totally dependent on your individual anatomy. That is the beauty of doing noses, no two are the same. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate their on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.
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August 23, 2020
Answer: Grafts with rhinoplasty?? It is impossible to tell you what you need without photos and what is needed for YOUR NOSE. You need a consultation with a very experienced rhinoplasty surgeon. Look for natural results.
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August 23, 2020
Answer: Grafts with rhinoplasty?? It is impossible to tell you what you need without photos and what is needed for YOUR NOSE. You need a consultation with a very experienced rhinoplasty surgeon. Look for natural results.
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August 23, 2020
Answer: When do you need a graphs and/or a bridge with Rhinoplasty/septoplasty? Grapfts are certainly beneficial in the appropriate patient when done judiciously and placed artistically.
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August 23, 2020
Answer: When do you need a graphs and/or a bridge with Rhinoplasty/septoplasty? Grapfts are certainly beneficial in the appropriate patient when done judiciously and placed artistically.
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