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[Today's topic] Rib/Costal cartilage for nose revision surgery
Costal or rib cartilage is literally
referring to the cartilage portion of your own rib
usually under the breast
through an incision site of about 2~3 cm
the cartilage is removed and used for rhinoplasty
Costal cartilages are used in this situation!
When it's difficult to use pre-existing ear cartilage
or septal cartilage, or
in cases where there is excessive side effect like upturned nose or a significant amount of reconstruction is needed
costal cartilage is primarily used
when you have naturally weak septal cartilage
Or you want a prominent nose
These days we use it in the first surgery too
[We also use it in the first nose surgery these days] Costal cartilage is not difficult to collect
This client for example
used costal cartilage for their 2nd surgery
Due to incisions being made along the creases beneath the chest
despite it being a scar of about a month
it's remarkable how inconspicuous it appears
After the time goes by
it can be seen that many people do not experience significant stress due to scarrings
Is there variation among doctors regarding the removal of costal cartilage?
Since not all plastic surgeons undergo
the same training
it cannot be stated that every surgeon can easily remove costal cartilage
But!
[Writing a paper on costal cartilage in relation to reconstruction for microtia] For example, in Microtia reconstruction
I have also written a paper on which cartilage is suitable for
(Evaluating the suitability of using costal cartilage preoperatively) ear reconstruction to facilitate costal cartilage surgery
and to what extent one can assess
the calcification state or condition of the cartilage
(With ease) so I'd say it's not that difficult to remove them
Advantages and disadvantages of Rib/Costal cartilage
When getting nose surgery with costal cartilage
[Disadvantage of autologous cartilage] a 2-3cm scar and pain at the incision site
these kind of things can be
disadvantages of costal cartilage
[Advantages of costal cartilage] But, compared to septal cartilage or ear cartilage
costal cartilage is much more stable, (functionally) superior
and provides enough material to create a prominent nose
That makes it a good material choice
for rhinoplasty
However, it's not mandatory to use costal cartilage
for rhinoplasty
nor does it mean a prominent nose cannot be achieved without it
so, considering preferences
If costal cartilage is needed, we would use that
But it’s best to use what suits you (nose implants)
If only the necessary amount of costal cartilage is removed
the area where it is detached, known as the Donor site,
can be managed and like scarring, complications, and side effects
can be minimized
Also through secure sourcing of materials,
it allows for the attainment of optimal results
Therefore, if deemed essential, utilizing your own costal cartilage for rhinoplasty
can yield excellent outcomes
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