RIB
Rib grafting is often used in both revision rhinoplasty, and noses that have suffered trauma.
The graft is made from cartilage, not bone. This is typically harvested from the right chest, 2-3 inches below the breast fold. On average, the incision is 15-22mm in size, depending on body habitus.
All rib grafts are cut with the “Oblique Split Method” to minimize warping, and are soaked in antibiotic solution (1000mg of Ciprofloxacin in 1000ml Normal Saline) for a minimum of 90 minutes prior to usage.
In situations where either a very small amount of cartilage is needed (primary), or a patient’s own rib has calcified due to age or trauma, MTF donor cartilage may be used. This will be discussed in detail during the surgical planning.
In the early periods, the harvest site can be sore for 1-2 weeks. The scar is initially red, then transitions from pink to a thin white line. The scar continues to fade for 2 years.
Rib cartilage is critical in building structure in rhinoplasty. This can be used for any of the below
– Spreader grafts
– Tip cartilage reconstruction
– Septal extension grafting
– Total septal reconstruction
– Dorsal augmentation
– Tip cartilage reconstruction
– Septal extension grafting
– Total septal reconstruction
– Dorsal augmentation
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