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Thin rib graft for secondary rhinoplasty

Dr. Paul Nassif specializes in all nose surgery procedures

Thin rib graft for secondary rhinoplasty

Postby Nichole14 » Mon Dec 07, 2009 8:17 pm

I had a rhinoplasty in May 2006 where my dorsal hump, width, and tried to reduce the tip. When the cast was first taken off my nose was perfect but then It started to swell and stayed large. I also noticed my nose has the "scooped" out look.I emailed my pictures to a surgeon and he recomended using a thin rib graft taken from me. I was wondering if rib grafts are a good solution and if they have the least complications of nasal augumenting materials? Also, if I get the graft and don't like it, would getting it removed cause excessive scar tissue formation or fibrosis?

Any information would be appreciated.

Thanks :)
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Joined: Mon Jun 25, 2007 6:40 pm

Re: Thin rib graft for secondary rhinoplasty

Postby DrNassif » Mon Jan 25, 2010 5:30 pm


It is difficult to determine exactly what your needs are without seeing additional photos and/or performing an examination. There is no material that will provide the "least" complications. To fix a dorsum, septal cartilage won’t be enough. I use the perichondrium from rib, put it under the skin and then inject diced cartilage between the bone and perichondrium and build it up slowly. It works incredible.

If you wish, you may send any photos to my office and I would be happy to evaluate them for you. You may send photos to Lisa, my patient care coordinator at Lisa@spaldingplasticsurgery.com. Thank you and best of luck.

Dr. Nassif
Paul S. Nassif, MD, FACS
Facial Plastic & Reconstructive Surgery
Spalding Drive Cosmetic Surgery & Dermatology
120 S. Spalding Dr., Ste 315
Beverly Hills, CA 90212
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Posts: 544
Joined: Wed Aug 01, 2007 11:58 am
Location: Beverly Hills, California

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