Nose Augmentation with Rib Graft Procedure
This procedure involves the following steps:
Step 1. Anesthesia
Anesthesia is administered so you will be comfortable while the surgery is going on.
Step 2. The Incision. Open VS Closed.
This procedure has two basic types, open and closed.
Closed rhinoplasty, also called as endonasal rhinoplasty, involves an incision inside the nostrils, giving you no visible skin incisions. After the incision is created, the skin is lifted from the underlying cartilage and bone. The graft can then be positioned.
Open rhinoplasty, also called external rhinoplasty, involves an incision across the columella, the thin strip of tissue that divides the nostrils. With this incision, the skin that covers the nasal bones and cartilages is carefully lifted, enabling the placement of the graft.
Step 3. Graft Placement
As mentioned above rib graft is one of the best solutions to correct a flat nose, a short columella, and an under-projected tip.
Why the rib?
- Autologous tissue (tissue obtained from the same individual and most compatible)
- Maximal volume to use
- Maximally increases the height and length of the tip of the nose (in case of additional tip surgery)
- Fewer complications (infection, extrusion)
At this stage of the procedure, your surgeon will fix the graft to parts of your nose. One or a few pre-formed grafts may be needed to achieve the desired shape. In addition, your surgeon may also fix your nose tip using the same harvested rib cartilage. The figure below shows different pre-formed grafts.
Step 4. Incision Closure
After the graft has been positioned to its ideal shape, the nasal skin and tissue are repositioned and incisions are closed.
Step 5. Recovery
For several days, gauze packing may support the nose while healing takes place.
As post-surgery swelling decreases within a few weeks, it might take as much as a year for your new nose shape to completely develop. Through this time you will observe progressive improvements in the appearance of your nose as it transforms into a more permanent shape.
Swelling may reappear and intensify in the morning during the first year after your surgery.
Your surgeon or your nurse will give you specific instructions that may include:
- First, the best way to care for the surgical site.
- Second, medicine to apply or take orally to assist recovery and decrease the risk of infection
- Thirdly, Certain conditions watch out for at the surgical site or in your general health
- And Lastly, other concerns including the time to follow up with your surgeon.
Take the first step and contact us through our no-cost virtual consultation. During this process, we will recommend options that will work best for you. Every client is different, so our virtual consultants and surgeons tailor the procedure to match each person’s needs.