Solid rib graft or DCF and which one would last longer? (Photo)

Question

I am considering of getting my first Asian rhinoplasty and I’d like it to be my one and only surgery. I am looking for a slight augmentation of my bridge and narrowing of my tip. Now, I am debating between going to a surgeon that does solid rib graft or DCF. Which one would last longer that possibly wouldn’t require a revision years later due to it’s known complications such as warping (solid rib graft) or resorption (DCF) considering surgical technique being done right?

Donald B. Yoo, MD, FACS · Answer

As you have noted, Asian rhinoplasty using tissue from your own body (autologous grafts) will provide the safest and most permanent results.  For dorsal augmentation, a well-executed DCF graft will provide more natural appearing contours without the risk of warping of an en bloc cartilage rib graft. #drdonyoo

Ronald J. Edelson, MD · Answer

It doesn’t look like you are a good candidate for  a dorsal graft at all. Each option has its pros snd cons. The DCF is more popular these days and is easier to shape

Waleed Ezzat, MD, FACS · Answer

Thank you for you question. This is a highly-technical question and the correct answer is that they are both equally-effective when applied in the right setting. There are many anatomic variables that contribute to the decision on which technique is best for your nose. It is ok to ask your surgeon for the rationale for their recommendation - in fact, this should be expected. Once you get the information, I would go with whatever answer you feel more comfortable with.

In experienced hands, the rates of warpage for cartilage grafts and resorption for DCF are small enough that they are both considered solid choices in Asian Rhinoplasty.

Best of Luck!

Dr. E

In experienced hands, the rates of warpage for cartilage grafts and resorption for DCF are small enough that they are both considered solid choices in Asian Rhinoplasty.

Best of Luck!

Dr. E

Suk Ho Yoon, MD - Account Suspended · Answer

Hello, This is Dr. Yoon Sukho, a board-certified plastic surgeon in Korea. According to the part you are worried about and the photos, I think it would be good to have nose bridge surgery and nose tip surgery.There are two types of surgery, but in general, nasal septum cartilage or ear cartilage is often used for nose tip surgery.Coastal cartilage surgery is also one of the choices.Every surgery has its pros and cons.We hope that you will visit a doctor who has experience in nose surgery to receive examination and consultation, and find the best surgical method for a successful operation.

Solid rib graft or DCF and which one would last longer? (Photo)

Answers (4)

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