USING RIB CARTILAGE FOR REVISION RHINOPLASTY
When the results of a rhinoplasty procedure are unsatisfactory, revision rhinoplasty may be performed. During this procedure, there are a few types of cartilage that may be used in reconstructing the nasal framework, including cartilage from the septum, ear or ribs.
Dr. Rizk prefers to harvest cartilage from the septum if possible. However, in many cases this is not an option, as it may have already been harvested in the original procedure. When this is the case, Dr. Rizk may use ear or rib cartilage. He prefers not to use the patient’s own rib cartilage due to the scar it leaves behind, as well as potential risks such as injury to the lung or pleura (the layer of tissue surrounding the lung) and pneumothorax (accumulation of air around the lung). Instead, Dr. Rizk obtains irradiated rib cartilage from a rib bank.
Rib cartilage is a safe option that works well to support or add to areas of collapse. It works particularly well as a source of support for the nasal tip, when a sturdy, flat piece of cartilage is required.