VIP International Plastic Surgery Center in KOREA - Rib Cartilage Rhinoplasty

Necessity of Rib Cartilage

Most Asians have a short depressed nose, short and retruded columella and mid-face retrusion.
In this circumstance, there are a lot of complications such as infection, displaced silicone,
extrusion and skin thinning when inserting implants, such as silicone or goretex, to augment or elongate the nose.
In addition, there is a growing desire in recent patients to get a total cosmetic surgery to fit
the overall balance and proportion of the face, instead of a simple nose surgery.

Thus, most Asian noses require a surgery using autologous cartilages,
which includes the elongation of the nose, projection of the tip, as well as augmentation of dorsum and mid-face.
However, septal cartilage is weak and not enough in amount due to short nose. Ear cartilage is also weak, small in
volume and irregular in shape to support the nasal structure.

Therefore, in this circumstance, rib cartilage is a most useful choice of material to perform the rhinoplasty in Asian nose
such as short nose, damaged nose, infected nose and mid-face retrusion case
because rib cartilage is enough in amount, strong to support nasal structure and safe due to autologous tissue.

Recent Trend of Rib Cartilage Rhinoplasty

Rib cartile used to be the material for revision rhinoplasty for patients with severe short nose due
to repeated revision rhinoplasty and infection.
However, nowadays, rib cartile rhinoplasty is performed not only to increase the dorsum height and length of the nose
and tip projection, but also to create a facial harmony and balance.
Therefore, after rhinoplasty rib cartilage, mouth protrusion will be corrected and large cheekbone
and jawline will be improved.

Before & After / Rib Cartilage Rhinoplasty
About Autologous Rib Cartilage
The amount of rib cartilage is abundant!
In a human body, there are 12 rib cartilages placed on each side of the frontal part of the ribs. Rib cartilage number 6 to 10 are used in rhinoplasty and number 7 is the most common one, since it is the straightest material.
Therefore, it can be used in various ways for rhinoplasty.

Scarring is minimal!
Since the incision will take place along the under breast line, scarring will be minimal. Therefore, the scar will fade after 6-12 months and will be on the folded line under the breast.

Absorption is minimal!
In contrast to cadaver rib cartilage, autologous rib cartilage tissue has minimal absorption.
Resistant to infection!
Autologous rib cartilage is resistant to infection. Therefore, it can be used for primary very low nose and secondary deformity nose. It is especially the preferred grafting material to correct the secondary deformed nose, such as previously infected nose, contracted nose and short nose deformity.

Rib cartilage requires a special technology to prevent warping, asymmetry, absorption, scarring and to lengthen the tissue.
It is very important to choose the right doctor with a lot of research and experience. If rib cartilage is used by an undertrained doctor, a lot of problems will occur. The reason is that training for harvesting, carving the rib cartilage, making the nasal structure and getting the sense of art about human body require a significant learning curve.

About Cadaver Rib Cartilage(Donated rib cartilage)

There are donated rib cartilages that are available for purchase for people
who are extremely afraid of having their rib cartilages extracted from their body.
This commercialized rib cartilage is good in that patients do not have to undergo the extraction process.
However, there are a lot of complications in the long term, as it is not an autologous material.
This donated rib cartilage is recommended for people who are severely injured so that
they cannot possibly use their own cartilage.

Complications of cadaver rib cartilage use
There is a high chance of getting infected. After the infection, it is hard to cure and can cause damage in the nasal soft.
As time goes by, the cartilage absorption rate will become higher after a number of years, and it will be absorbed almost 100%.
A detailed structure cannot be made, since the tissue is very weak.
It can break easily due to its lack of elasticity.
There will be a lot of capsule forming, since it is a foreign material.
Diseases like hepatitis, HIV or Creutzfeldt-Jakob disease can be transmitted.
Therefore, in some countries, cadaver rib cartilage is illegal to use for the medical and cosmetic operations.
Indications of Rib Cartilage Rhinoplasty
Contracted nose due to infection & multiple surgeries
Short nose
Protruded mouth (Harmony Rhinoplasty)
Retruded mid-face
Flat nose
Nose with injected foreign body
Cleft lip nose deformity
Damaged nose from accident or multiple surgeries
Before & After / Rib Cartilage Rhinoplasty