Are grafts always used in revision rhinoplasty cases?

Question:

Are grafts always used in revision rhinoplasty cases and what are they made of? Are there any concerns when using them?

Answer:

Depending upon the complexity of the revision rhinoplasty case, grafts may or may not need to be used. I typically harvest grafts for rhinoplasty from the nasal septum. If the septum has already been used in the primary rhinoplasty, I will use auricular (ear) cartilage for grafting. If the deformities are severe, and the nasal septum has already been used, I will harvest a rib graft with which I perform the revision rhinoplasty. If the grafts that are being used in the revision rhinoplasty are your own tissue, then the risks of using these grafts are minimal. If synthetic grafts are used in revision rhinoplasty surgery, the risks of infection or extrusion of the grafts are increased. Although it can add time and work to the procedure, I prefer to use your own tissue in rhinoplasty and especially, revision rhinoplasty surgery.