I've been doing some research for rhinoplasty. And most doctors seem to say rib cartilage would be better off then using gore-Tex. So far it seems like the only bad effect so far by using rib cartilage is possible wrapping when done by an unskilled doctor. Does that mean it would last forever? Is there anything else I've missed? I would appreciated any feedback. Thank you :)
What Are the Possible After Effects of Rib Cartilage Rhinoplasty Besides Wrapping in Years to Come?
Doctor Answers 3
Possible Side Effects For Rib Cartilage Rhinoplasty
Performed by extensively experienced surgeon, the rib cartilage graft Rhinoplasty will result in exceptional results when shaped correctly.
Aside the mild risk of pneumothorax (punctured lung) in an autologous graft, the cartilage can move from and cause asymmetries or it can fail to fuse an become moveable under the skin of the nose.
I encourage you to seek consultations with board certified surgeons of ample experience in the field.
Thank you for your question and the best of luck to you.
Long Term Problems Using Rib Cartilage Grafts
Other than warping there are few long term problems using rib cartilage in rhinoplasty surgery. I feel it is better to use the patient's own tissue rather than synthetics. Survival is typically excellent. The main problems associated with rib grafts are the discomfort following their harvest, possible unfavorable donor scars, and the minimal risk of a pneumothorax when the grafts are taken.
Risks of Rib Cartilage- Costal cartilage
- Septal cartilage (often missing in revision rhinoplasty) and made of fibroelastic cartilage
- Ear cartilage -softer cartilage and is elastic type of cartilage (hence softer and likely to bend)
- Rib or costal cartilage- firmer cartilage and similar in makeup as septal cartilage
- Warping-This risk can be minimized with experience of carving rhinoplasty, patients with calcifications in the rib, and the location and type of graft placement
- Scar- The scar size can be minimized based on the patient's body type (thinner patients can have a smaller scar) and surgeon's experience with more advanced surgeon's harvesting from 1-3 cm rib scars
- Pneumothorax- This is where a lung deflates since the surgeon is working around the rib site. This is rare but the surgeon must be able to handle this risk.
- Breast implant violation- Patients with breast implants may be at risk for a "popped" implant although this is unlikely
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