Facial plast Surg 2008; 24(3): 365-371
DOI: 10.1055/s-0028-1083090
© Thieme Medical Publishers

The Decision Process in Choosing Costal Cartilage for Use in Revision Rhinoplasty

Robert J. DeFatta1 , 2 , Edwin F. Williams1 , 2  III 
  • 1Williams Center Plastic Surgery Specialists, Latham, New York
  • 2Facial Plastic and Reconstructive Surgery, Department of Surgery, Division of Otolaryngology–Head and Neck Surgery, Albany Medical Center, Latham, New York
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Publication History

Publication Date:
24 October 2008 (online)


The aims of rhinoplasty reconstruction include maintaining or augmenting long-term tip projection, restoring rigid dorsal stability, and restoring optimum respiratory function. The methods set forth to obtain these objectives are inherently based on the intrinsic nasal principles at the time of the rhinoplasty. Because of the excellent and consistent results autologous costal cartilage grafts provide when faced with problems such as the traumatic saddle deformity, defects after neoplastic resection, congenital nasal deformities, severe tip weakness or underprojection, rhinoplasty in the ethnic patient, and revision rhinoplasty, they are an invaluable resource to the rhinoplasty surgeon. Once the surgeon becomes comfortable and proficient at harvesting this graft, it inevitably will become the graft of choice when substantial amounts of cartilage are required.