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Home > Services > Cosmetic Surgery > Facial Sculpturing Surgery > Autologous cartilage graft rhinoplasty

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Autologous cartilage graft rhinoplasty

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Autologous cartilage graft rhinoplasty

The nose is the most stereoscopic symbol of the facial features; it is not only one of the most important breathing organs but also plays a critical role to the proportion of the facial profile. Among the current Rhinoplasty techniques, no matters if its Korean style or traditional technique, it has allowed most of the people to successfully have stereoscopic nose. But to some who due to serious external injuries to the nose area, or congenital nasal deficient, normal rhinoplasty or the implanted artificial materials can not fully rectify the problem. As a result, obtaining materials from autologous cartilage graft and transplanting it to nose, has become the only option for this type of surgeries. Apart from that, if the patient does not want to accept artificial implants for nose jobs, then searching for patients’ own cartilage for transplant is the only method. Among them, the area which is able to provide autologous cartilage graft is our rib cartilage.

Below are examples for situations which are suitable for employing augmentation rhinoplasty with autologous rib cartilage graft.

1. The patients who have serious external injuries or deformed nose.
2. People who are congenital nasal deficient.
3. The patients who refuse any artificial materials for their nose job.
4. The patients who are known inflammation or infection due to previous artificial implant materials.
5. People who have autoimmune or rejection disease but want to have nose job.

For autologous cartilage graft rhinoplasty, the key is the acquirement of the rib cartilage. Firstly, the size of the patient’s nose must be measured. After calculating the required size of the cartilage, cut open a 4~5 cm incision on the front chest near the 9th rib. The rib can be visualized after separating apart the soft tissues and muscle. The separation of the cartilage membrane can now be performed and the required cartilage can be obtained. At this point, the surgeon should be very careful to retain a complete rib membrane and pars of the cartilage to allow for better regeneration and recovery of the cartilage after surgery. The surgeon will stitch the incision on the front chest after the volume and size of cartilage is confirmed.

The obtained cartilage should be curved or not smooth. At this point, the surgeon should obtain the most suitable part and spend a lot of time to sculpture the cartilage to an artificial nose appearance. It can then be implanted into the nose. Other step such as open rhinoplasty approach is similar to Korean style nose job, but if the patient self has serious deformed nose shape, then nasal bone osteotomy is required so that the correction can be perfect.

	Autologous cartilage graft rhinoplasty	Nose jobs using artificial material as implants
Materials used	Autologous rib cartilage graft	Artificial nose mould or Goretex
Anesthesia	General anesthesia	Intravenous sedation and local anesthesia
Surgery Length	Above 4 hours	Between one hour and three hours
Surgery method	open rhinoplasty approach	Traditional or Korean style (open incision) rhinoplasty
Operational Incision	Incision at the nasal columella and front chest 4~5 cm (site of obtaining rib cartilage	Single sided inside the nose (traditional) or the nasal columella (Korean style)
Hospitalization period	None	None
Recovery Time	7~10 days	7 days
Stitches Removal	7 days	7 days
Probability of infection	Very low	Low
Probability of rejection	None	Low
Body compatibility	Completely	Goretex is acceptable
Probability of changing	None	Low
Autologous absorption	Slightly	None
Advantages	Fully autograft, no rejection and infection probability is low. No possibility of sticking out and cartilage can be utilized adequately.	Convenient to use, cost is slightly cheaper, and surgical procedure is simple
Disadvantages	Scaring on the front chest, cost is slightly higher, level of surgery is high, and needs to overcome inertia of cartilage to prevent curving.	The infection probability is slightly higher than rhinoplasty with autograft. It requires the coordination of the nasal septal cartilage to cushion the nose head. It can not be used for patients with serious nose deformation. Easy to have symptoms such as displacement of the implant or discomfort.

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