Unhappy with my septorhinoplasty - could this be treated with rib cartilage? (Photo)

Question

I had a septorhinoplasty 4.5 months ago ( was told by the surgeon she could keep my side profile the same. I just wanted subtle tip refinement from the front. My surgeon ended up performing osteotomies, shortening my nose and leaving me with a wider bridge (granted I know the knows swells for a year+), a slope, and too much nostril show. I’ve been so upset since my procedure and really want my side profile back and thin bridge/less nostril show again. Would this be done with rib cartilage?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you will benefit from a Revision Rhinoplasty to derotate your tip. In order to accomplish this, the nose should be opened with all scar tissue released and extended spreader grafts can be placed to derotate the tip. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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

Best wishes and good luck.

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

Jeffrey H. Spiegel, MD · Answer

To recreate the lovely nose you had before surgery, or get closer to it with some of the initially desired changes, we would indeed likely use rib cartilage.  New studies suggest that donor rib cartilage, which does not require an incision on your chest under the breast to get cartilage, is perhaps even better performing and longer lasting than your own cartilage so it is easier than ever to get this done.

Unhappy with my septorhinoplasty - could this be treated with rib cartilage? (Photo)

Answers (2)

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