When rib cartilage is considered
After a previous rhinoplasty the septal cartilage may be partly or wholly used. If the middle vault is weak, the dorsum collapsed or the tip unsupported, reconstruction sometimes needs more material than the ear can give.
The decision is not made by the number of previous operations, but by remaining tissue, skin, breathing and what must be rebuilt. A small irregularity does not automatically mean a rib graft.
What it can reconstruct
A costal cartilage graft can give straight, longer segments to rebuild the dorsum, septal support or tip stability. The surgical aim is not to add as much cartilage as possible, but to restore enough structure with an acceptable shape and airway.
Harvesting the graft
The cartilage is taken through a separate incision on the chest. That means a second operative field, a scar, and soreness with movement or coughing in early recovery. Position and length of the incision are explained before a decision.
Irregularity, graft warping, visibility under thin skin, asymmetry and a later correction are possible.
Questions about rib graft
Does every revision need rib cartilage?
No. If the septum or ear gives enough material, a rib may not be needed. The decision follows the examination.
Is there a scar on the chest?
Yes, there is a separate incision. Its position and expected appearance are explained before surgery.