I had the joy to guest edit a special issue ' The key to costal cartilage in rhinoplasty' in journal 'Plastic and Aesthetic Research'. This special issue covers all issues of rib cartilage use in rhinoplasty; cutting edge techniques of harvesting and carving, application of rib cartilage in primary and revision rhinoplasty, practical points for proper preoperative and postoperative care, and diced cartilage and homologous cartilage applications. I invited world renowned rhinoplasty surgeons who are specialists in dealing with rib cartilage use. I hope rhinoplasty surgeons who wants to use rib cartilage in their practice will benefit from the wisdom of the experts.
This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.
Thank you Dr. Jin so much for sharing your knowledge and experience of using rib cartilage in rhinoplasty. I am a Korean who had a rhinoplasty using a artificial material for augmentation years ago and I am currently planning to do a revision solely depending on autoplasty. I had a difficult time trying to find a surgeon who as an abundant experience and skills using rib cartilage for dorsal augmentation because the Korean web search engine is basically overwhelmed by so many advertisements and post surgery reviews are also not credible. However, my extra web search (in English this time) quickly led me to your homepage and your blog. Your writings on the topic really helped me to learn how the surgery is done to various patients who all have different nose conditions and what measures are needed to prevent possible negative outcomes of rib cartilage such as warping. I am looking forward to seeing you in person and talk about my current situation.
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