We share a real case of secondary rhinoplasty performed at Clínica Pérez Villar: a revision procedure in which a costal cartilage graft (rib graft) was used to reconstruct and reinforce the nasal structure after a previous surgery.
Starting point: a second procedure with added challenges
In secondary or revision rhinoplasty, the starting point is different from that of a first surgery. The tissues have already been operated on, there may be internal scarring and, in many cases, the patient’s own cartilage has already been partially used or is no longer sufficient to achieve the desired result. This is why these procedures require individualised planning and, in many cases, the use of additional grafts to reconstruct the nasal structure.
The technique: a rib graft to reconstruct the nasal structure
In this case, Dr. Álvaro Pérez Villar opted for a costal cartilage graft to provide the support and stability the nose needed. This type of graft makes it possible to reconstruct, reinforce and improve the nasal structure when a previous operation has already taken place, providing a firmer, more natural base in complex cases where septal or ear cartilage is not enough.
Immediate result in the operating theatre
The image accompanying this case corresponds to the immediate result, taken in the operating theatre just after the procedure was completed. Although the definitive result of a rhinoplasty is assessed months later, once swelling has fully resolved, this first image already shows the change in profile and the new supporting structure achieved with the graft.
Why every revision case is studied individually
As with all secondary rhinoplasty cases, the planning of this procedure was carried out on a personalised basis, assessing the condition of the tissues, the cartilage available, and the patient’s functional and aesthetic goals, in order to achieve a functional, harmonious result adapted to her face.
Conclusion
This real case of secondary rhinoplasty with a rib graft is a good example of how revision nasal surgery requires experience and an individualised analysis of each patient. If you have had a previous rhinoplasty and are not satisfied with the result, you can request a consultation with Dr. Pérez Villar to discuss your case.
