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Thank You Plastic Surgery 

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Because it is a good way to achieve the best results

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Thank You Plastic Surgery

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[Today's topic]
Rib/Costal cartilage for nose revision surgery

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Costal or rib cartilage is literally

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referring to the cartilage portion of your own rib

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usually under the breast

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through an incision site of about 2~3 cm

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the cartilage is removed and used for rhinoplasty

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Costal cartilages are used in this situation!

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When it's difficult to use pre-existing ear cartilage 

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or septal cartilage, or

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in cases where there is excessive side effect like upturned nose or a significant amount of reconstruction is needed

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costal cartilage is primarily used

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when you have naturally weak septal cartilage

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Or you want a prominent nose

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These days we use it in the first surgery too

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[We also use it in the first nose surgery these days]
Costal cartilage is not difficult to collect 

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This client for example

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used costal cartilage for their 2nd surgery

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Due to incisions being made along the creases beneath the chest

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despite it being a scar of about a month

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it's remarkable how inconspicuous it appears

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After the time goes by

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it can be seen that many people do not experience significant stress due to scarrings

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Is there variation among doctors regarding the removal of costal cartilage?

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Since not all plastic surgeons undergo

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the same training

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it cannot be stated that every surgeon can easily remove costal cartilage

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But!

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[Writing a paper on costal cartilage in relation to reconstruction for microtia]
 For example, in Microtia reconstruction

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I have also written a paper on which cartilage is suitable for 

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(Evaluating the suitability of using costal cartilage preoperatively)
ear reconstruction to facilitate costal cartilage surgery

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and to what extent one can assess

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the calcification state or condition of the cartilage

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(With ease)
so I'd say it's not that difficult to remove them

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Advantages and disadvantages of Rib/Costal cartilage

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When getting nose surgery with costal cartilage

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[Disadvantage of autologous cartilage]
a 2-3cm scar and pain at the incision site

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these kind of things can be

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disadvantages of costal cartilage

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[Advantages of costal cartilage]
But, compared to septal cartilage or ear cartilage

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costal cartilage is much more stable, (functionally) superior 

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and provides enough material to create a prominent nose

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That makes it a good material choice

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for rhinoplasty

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However, it's not mandatory to use costal cartilage 

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for rhinoplasty

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nor does it mean a prominent nose cannot be achieved without it

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so, considering preferences 

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If costal cartilage is needed, we would use that

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But it’s best to use what suits you (nose implants)

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If only the necessary amount of costal cartilage is removed

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the area where it is detached, known as the Donor site,

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can be managed and like scarring, complications, and side effects

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can be minimized 

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Also through secure sourcing of materials,

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it allows for the attainment of optimal results

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Therefore, if deemed essential, utilizing your own costal cartilage for rhinoplasty

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can yield excellent outcomes 

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Thank You Plastic Surgery 
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