Best cartilage to bring refinement and definition to bridge?

My bridge was overly ressected during my primary I want to raise my bridge but I also want my bridge to look narrow and not thick or wide. What is the best cartilage for this if I have all available to useseptal, ear or rib

Doctor Answers 11

Best cartilage for bridge

Based on your description it appears that you ma need revision rhinoplasty with rib cartilage, such as the example in the link below.  It is possible that there may be enough cartilage in the septum of your nose to do the job but not likely.

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Best Cartilage to Augment Nasal Bridge

Best Cartilage to Augment Nasal Bridge I prefer to use diced cartilage/temporalis fascia grafts to augment the over-resected nasal bridge. In order of preference I use septal, ear, or rarely rib cartilage.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Dorsal on lay material to augment the bridge during correction rhinoplasty.

Septal cartilage is a good material for dorsal on lay because of its rigidity. After this I prefer very thin Medpore sheeting. There are plenty of other options however.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Best cartilage for refinement and bridge definition

Although it may be easier to assess your photos or nose in person, I believe that it sounds like you may need a moderate amount of volume.  Due to your previous surgery, it may be that your septal cartilage was harvest, or is simply not adequate for what you require.  You will likely require harvested rib cartilage to create dorsal height and further tip definition/support.

John Layke, DO, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 50 reviews

Cartilage grafting for secondary rhinoplasty

Thank you for your question.  There are multiple factors that need to be considered in determining the best source for cartilage grafting in secondary rhinoplasty.  Nasal septal cartilage is usually the preferred source for grafting, but is often insufficient in secondary rhinoplasty.  Other options include ear cartilage and rib cartilage.  I would recommend a consultation with a board certified Facial Plastic Surgeon with extensive experience in revision rhinoplasty.  They can assess the amount of augmentation needed and advise, based on their experience, the best treatment options for addressing your concerns.  Best of luck to you.

Michael Boggess, MD
Nashville Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Graft volume, contour, and donor site morbidity will determine the "best" donor cartilage

In choosing a cartilage donor site, it is important to know the volume of graft necessary, contour characteristic of the donor graft, and the morbidity at the site of graft harvest.  With severe collapse, rib cartilage may be the only donor site that may yield sufficient volume, but has the disadvantage of a painful donor site with scarring on the chest.  Furthermore, it can be calcified and difficult to use in older individuals.  Septal cartilage from the nose is available in limited quantities and is usually straight, pliable and easy to use with no donor site morbidity. However, limited availability confines its utility to small dorsal defects. Ear cartilage has the added problem of natural curves.  These curves work well at the tip of the nose but is disadvantageous when seeking to rebuild a straight nasal dorsum.  Furthermore, minor irregularities at the donor ear can occur.

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 17 reviews

#Rhinoplasty graft sources #plasticsurgery

This answer depends on the amount of cartilage needed for dorsal nasal reconstruction. Septal cartilage is an option for some patients with minor contour issues and enough septal cartilage remaining after primary rhinoplasty. Costal or 'rib' cartilage is a source of large pieces of cartilage that can be used to restore substantial structural and cosmetic deficits in secondary rhinoplasty surgery.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews

Revision rhinoplasty

The best source of cartilage is the one that your surgeon is most comfortable with.  In otherwords, some surgeons are accustomed to using cartilage from the rib while others from the ear.  Both cartilages can do the job well, but the results are more dependent on the training and skill of your surgeon.  Do your research.  Ensure appropriate board certification and experience in rhinoplasty surgery.  Look at before and after photos, and make an informed decision based on results.  Best Regards.

Sean R. Weiss, MD, FACS
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Best cartilage to use for refinement of the bridge

 Revision rhinoplasty is more difficult than a primary rhinoplasty, so it's important to choose your specialist very wisely based on extensive experience. Nasal cartilage is always the primary source for grafting purposes when performing a rhinoplasty procedure. It's important to note if there is any cartilage left on the inside  your nose from the prior rhinoplasty procedure. If there is a cartilage depleted nose, ear cartilage is the next best source, then rib

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews


Hello and thank you for your question. In order to answer this question, photographs would be very helpful.  Usually septal, ear, or rib cartilage are all options.  I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 131 reviews

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.