Revision rhinoplasty (nose job) surgery is a very difficult operation. The reason is simple; as everyone knows, doing something from scratch is easier than correcting the wrong one.
-In the first rhinoplasty operation, the cartilage necessary for the physician to reshape the nose is already present in the nose itself. However, once this cartilage is disrupted or used, there is generally not enough cartilage left for a second operation. The initial rhinoplasty surgery may fail in shape or function, sometimes structurally, sometimes because of insufficient knowledge of the physician.
-At this point, a second rhinoplasty operation is required to give the patient the ability to breathe again or to correct the falling nasal tip again. But since the cartilage required for this second surgery does not remain on the nose, as a physician I prefer to take cartilage from the patient’s own body and use it in the nose.
-So where does this cartilage come from?
Although the ear is among the first options that come to mind, we are unable to obtain cartilage from the ear in the amount that we can play in the nose. Therefore, I prefer to take cartilage from the patient’s own rib.
-Ribs are a good option for me because both the patient will not be affected in any way after the operation and it is a good cartilage source during the operation. In women, the incision is usually made under the breast and thus the trace is allowed to appear minimum. Usually the length of the cut does not exceed 3-4 cm.
Usually, we can understand whether extra cartilage is needed in the patient’s nose at the preliminary examination. The patient’s own rib is an adequate source of cartilage for us, and this procedure does not affect the patient in any way after surgery.