What are the risks/issues associated with repairing a recession of nasal wall by filling with free-diced cartridge?

I recently underwent my 3rd revision rhinoplasty. During the 2nd revision surgery nasal bone was shaved on the left side and this resulted in a recession of the left nasal bone. The Dr. recommended filling the recession with free-diced rib cartridge in a closed rhinoplasty op, i had this procedure. What are the long term risks of wall collapse/effects of cartridge use vice grafts? Could spreader grafts still be used still without a left bony-part, what else could be done to repair/strengthen it?

silke mc May 14th, 2017 SA

  • Answer
     Jack Zoumaras

    Jack Zoumaras

    4 answers

    Plastic Surgeon
    New South Wales, Australia

    Hi, great questions. When it comes to secondary or tertiary Rhinoplasty due to scarring and the complexity of surgery rib graft is almost always required. In your case it is necessary to have rib graft to reconstruct the dorsum and an open approach is the best way to proceed.