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Open rhinoplasty with rib graft

An illustration of the open rhinoplasty procedure using rib grafts. The image includes detailed diagrams showing various components such as rib cartilage, septal cartilage, and ear cartilage. Each part is labeled with arrows indicating their application in nasal reconstruction.

What is Open Rhinoplasty with Rib Graft?

Open rhinoplasty involves making an incision across the columella (the tissue between the nostrils) and within the nostrils, allowing the surgeon to lift the skin and access the underlying nasal structures. A rib graft involves harvesting cartilage from the patient’s rib, which is then sculpted and used to reconstruct and support the nose.

  1. Anesthesia: Performed under general anesthesia for patient comfort.
  2. Incisions: Made across the columella and within the nostrils.
  3. Rib Cartilage Harvesting: Cartilage is carefully removed from the rib area.
  4. Grafting: The rib cartilage is shaped to create grafts for nasal reconstruction.
  5. Nasal Reshaping: The nose is reshaped using the cartilage grafts.
  6. Closing Incisions: Incisions are closed, and support splints may be placed.
  7. Recovery: Rest and limited physical activities for several weeks; full recovery takes several months.

Benefits of Open Rhinoplasty with Rib Graft

  • Structural Support: Provides strong, reliable support for significant nasal reconstruction.
  • Customization: Allows precise reshaping and correction of complex deformities.
  • Durability: Rib cartilage grafts offer long-lasting results.

Risks and Considerations

  • Donor Site Morbidity: Additional surgical site with potential for pain and scarring.
  • Complexity: Requires a skilled, experienced surgeon.
  • Recovery: Longer recovery time due to the procedure’s complexity and additional donor site.

Ideal Candidates

  • Individuals with nasal deformities requiring significant structural support.
  • Patients with previous unsuccessful nasal surgeries.
  • Those needing extensive reconstruction due to congenital deformities or trauma.

Consultation and Preparation

Before undergoing open rhinoplasty with rib graft, a thorough consultation with a board-certified plastic surgeon is essential. The surgeon will evaluate your medical history, discuss your goals, and develop a customized surgical plan. Preoperative instructions may include avoiding certain medications, quitting smoking, and arranging for post-surgery care.

Recovery and Aftercare

  • Initial Recovery: Rest and limited physical activity for several weeks.
  • Swelling and Bruising: Common and may take several months to resolve.
  • Follow-Up: Regular appointments to monitor healing and outcomes.


Open rhinoplasty with rib graft offers a robust solution for individuals requiring significant nasal reconstruction. With the expertise of a skilled surgeon, this procedure can provide exceptional, long-lasting results, enhancing both the function and appearance of the nose. If you are considering this advanced rhinoplasty technique, consult with a qualified plastic surgeon to discuss your options and achieve your desired outcomes.