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Enhance Your Profile with Rib Cartilage Rhinoplasty: A Natural Approach to Nose Reshaping

2023-09-09 19:15:53

Dr. Fariba Azadikhah
Reviewed by:
Dr. Fariba Azadikhah

Rib cartilage rhinoplasty is premium rhinoplasty that uses your own natural rib cartilage to fully design the nose from basement to tip. This surgery can be performed using the natural rib cartilage 100% or it can be combined with a silicone implant for the partial use.

Rib cartilage was used in the past for patients who had severe shortness of breath due to rhinoplasty and frequent infections. But today, rib cartilage rhinoplasty is performed not only to increase the dorsum height and length of the nose and tip projection, but also to create harmony and balance in the face. Therefore, after rhinoplasty, the protrusion of the rib cartilage is corrected and the cheek bone and jaw are improved. If you want to do revision rhinoplasty without any external implants, rib cartilage is the right choice for you. However, it is very important to find a skilled doctor to rib cartilage rhinoplasty. If this surgery is performed by an inexperienced doctor, it may cause major complications. Rib cartilage rhinoplasty surgery generally takes between 2 to 3 hours and the patient is discharged from the hospital within 24 hours after the operation. Sutures are usually removed 7 days after surgery and recovery takes 1-2 weeks.

The nose is basically composed of two dyads of cartilages, those about the middle portion of the nose, the upper side cartilages, and those which make up the tip, the lower side cartilage. Also, the septum of the nose and the nasal bones give the foundation of structure and support. The septum is composed of both nasal cartilage towards the front of the nose and bone in the deeper aspects. Utmost, if not all, of these nasal frame factors, are altered in some way during a rhinoplasty procedure. The degree and manner of their change is not known in advance by the revision rhinoplasty surgeon.

Cartilage graft materials whether taken from the nasal septum, ear, or rib are used to give shape to the nose. Cartilage grafts also give another benefit of supporting the structure of the nose. Septal cartilage is the ideal cartilage to use for these purposes because of, it is a strong, thin cartilage. Nonetheless , most of the time the nasal septum cartilage has been destroyed or removed during previous rhinoplasty. A revision rhinoplasty almost always requires grafting to correct the underlying deformity. Given the missing septal cartilage, the only source of cartilage grafting material left available to the surgeon is either from the ear or the rib. 

Who is rib cartilage rhinoplasty suitable for?

Who is rib cartilage rhinoplasty suitable for?

1.People with nasal congestion due to infection and multiple surgeries

2.People with short noses

3.People with a protruding mouth (harmony rhinoplasty)

4.People with a receding middle face

5.People with flat nose

6.People with a nose with a foreign object injected

7.People with cleft lip nose deformity

8.People with damaged nose in an accident or as a result of a lot of surgery

Rib cartilage transplant

Rib cartilage transplant

It may be surprising to know that our ribs are made of cartilage. Harvesting part of the rib cartilage does not necessarily weaken our strong rib cages. The goal is removing rib cartilage from the 6th and, at times, the 7th rib. The sixth costal cartilage is located almost directly below the pectoral crease in women and below the large chest muscles in men, allowing for a camouflaging of the incision within this crease. Removing a small piece of rib cartilage from the center of this firmly attached rib provides the benefit of reducing discomfort after surgery. 

The use of donor cartilage, such as rib cartilage, can be also very effective in saving surgery time. It is already prepared for the surgeon and can be quickly transplanted into new areas of the nose. This allows for more precision in creating the desired shape and can help to achieve results much faster than if all cartilage had to be harvested from the patient’s own cartilage. Moreover, because donor rib cartilage is generally stronger than other types of cartilage, it can provide added support and stability to the nose after rhinoplasty.

Reasons for the superiority of rib cartilage over other materials

1. The amount of rib cartilage is more abundant than septum or ear cartilage, which eliminates the limitation of materials during surgery.

2. Natural material, natural tissue.

3. Continual result

4. The scar below the breast line is minimal.

5. Absorption is minimal compared to the donor rib cartilage.

6. Resistant to infection.

7. Over time, the rib cartilage is incorporated into the body as if you were born with a structured nose.

8. Versatility, it means that Rib cartilage can be shaped to meet the unique needs of each patient, making it a versatile option for a variety of rhinoplasty techniques.

9. Durability to wit Rib cartilage is known for its strength and durability, providing long-lasting results that can stand the test of time.

10. Biocompatibility that's mean Rib cartilage is naturally compatible with the body, reducing the risk of rejection or adverse reactions.

11. Rib cartilage can provide a natural look and feel to the nose and mimic the characteristics of native nasal cartilage.

Are you worried about having a scarring near the ribs?

Are you worried about having a scarring near the ribs?

It is normal to be concerned about scarring from the incision line resulting from rib cartilage removal. However, plastic surgery makes minimal incisions (2-3 cm) with a special technique to solve this problem. The cut line is followed along the line below the bust line and thus the line becomes almost invisible. If the incision line is taken care of with proper aftercare, the incision line will eventually fade over time.

Rib Cartilage transplant RisksRib Cartilage transplant Risks

The risk of using rib cartilage by inexperienced surgeons is that the rib cartilage tends to warp or change shape and can lead to an inappropriate appearance of the nose. Surgeons who have more experience with rib cartilage are amazing at preventing rib cartilage from warping or deforming. On the other hand, the use of rib cartilage in appropriate places with suitable and advanced rhinoplasty techniques eliminates the possibility of any change and deformation of the rib cartilage, which causes changes in the external appearance of the nose. You can get help from Ermateb for consultation with skilled and excellent surgeons. Rib cartilage transplant, if done correctly, can be an effective option with long-term results to correct the nose with a beautiful and natural appearance.

Risk of graft rejection for donor rib cartilage

Although donor cartilage can provide more stability and support for the nose after surgery, there is a risk of rejection when using donor tissue. The reason for this is that if the body does not recognize the transplanted tissue as its own, it is more likely to reject it. To reduce this risk, surgeons should always obtain high-quality donor cartilage from suppliers that are more compatible with the recipient's body and ensure that all sterilization processes are performed properly.

In addition to using donor cartilage, some surgeons prefer to use synthetic materials. Artificial materials may be used to reinforce or replace cartilage grafts. But while they create an additional option, they also carry more risks. These risks include infection and other problems that can affect the outcome of surgery. Synthetic implants may require more maintenance than natural implants, which is time-consuming and expensive.


For professional information you can read this article in Pubmed

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