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O&YOUNG · DR. LEE KYUHO

Rib cartilage in revision rhinoplasty: when and why

Rib cartilage can provide graft material when a planned nasal reconstruction needs more support or volume than other available cartilage can supply. It is not required for every revision. The first question is what the graft must do; the next is which material suits that purpose.

Content updated: 3 November 2026

Questions that shape the plan

Cartilage is a material, not the entire operation

Ask where the proposed graft will be placed and whether its role concerns the tip, septal framework or bridge. Your surgeon may plan different graft shapes for different tasks. A case labelled “rib cartilage” does not by itself describe the graft design or prove that rib cartilage alone produced the result.

Compare the available options

Discuss remaining septal cartilage, ear cartilage, existing grafts and the amount of reconstruction needed. A smaller correction may not require a new rib harvest. If donor cartilage is discussed, confirm the tissue source, processing, availability and the reasons it is being considered. Do not assume that every option is offered by the clinic.

Consider both the nose and the donor site

With your own rib cartilage, consent and recovery planning include the chest as well as the nose. Discuss pain, scarring and uncommon chest complications. At the nose, discuss warping, resorption, contour visibility, infection and possible further surgery. No graft material removes all surgical risks.

What if there is already a rib graft?

Bring the earlier operation report if possible. Ask whether the existing graft could remain, be adjusted or need replacement, and what findings would change the plan. Photographs do not establish its condition or the need for another harvest. Before travel, discuss care for both operative sites and follow-up after you return home.

CORRECTION AREA & APPROACH

Rib cartilage: shape a new support graft

Cartilage sourceSelected nasal support
Same fictional model: Rib cartilage: shape a new support graft — Left: the inset highlights costal cartilage near the front of the chest. Right: arrows connect a shaped graft to possible nasal support roles. The chest level, graft geometry and fixation are simplified; the surgeon chooses the actual donor site and placement.
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Left: the inset highlights costal cartilage near the front of the chest. Right: arrows connect a shaped graft to possible nasal support roles. The chest level, graft geometry and fixation are simplified; the surgeon chooses the actual donor site and placement.

Which part is corrected?

A nose that needs additional structural support when the available local cartilage is insufficient for the planned correction. Not every revision needs rib cartilage.

How can it be corrected?

A portion of the patient’s costal cartilage can be harvested and shaped into grafts for the required role. Depending on the plan, grafts may support the tip, septal framework or bridge. This uses cartilage, not a whole bony rib, and the two roles drawn are not mandatory together.

What changes the plan?

Discuss warping, resorption, contour visibility and infection, as well as chest pain, scarring and uncommon chest complications. Graft strength alone does not determine the result.

Compare the next steps

CASE 21982

Clinical photographs and follow-up

Autologous rib cartilage, Autologous dermis (3 months after surgery)

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The recorded follow-up interval is shown above. Individual results vary. These photographs do not establish the exact technique or the contribution of each procedure; early follow-up is not a final result.

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Your questions, answered

Is rib cartilage the same as rib bone?

No. This guide concerns cartilage used as graft material. Ask the surgeon to explain the intended harvest site and the grafts planned for your nose.

Does using my own tissue guarantee a permanent result?

No. Grafts and surrounding tissues can change, and complications or further treatment remain possible. Discuss the expected follow-up rather than a guarantee.

Does a rib-and-dermis case show the effect of rib alone?

No. A combined-procedure photograph shows the overall appearance at that time. It cannot separate the contribution of each component.

Prepare for your consultation

Share the dates and types of previous operations, known implants or grafts, the change you want assessed and your travel plans. Ask Dr. Lee Kyuho to explain the proposed correction, alternatives, limits and follow-up.

New or worsening redness, pain, swelling, drainage, exposed material or significant breathing difficulty needs prompt medical assessment. Do not wait for an overseas cosmetic consultation.

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