Open Revision Rhinoplasty with Rib Cartilage: A Journey to a More Refined and Balanced Nose

For some patients, rhinoplasty is not simply about making the nose higher or smaller. It is about correcting previous concerns, improving the overall structure, and creating a nose that looks naturally balanced with the rest of the face.

This patient underwent Open Revision Rhinoplasty using rib cartilage at The SIB Plastic Surgery. The goal was to refine the existing nasal shape while creating better definition, projection, and harmony from every angle.

Why Revision Rhinoplasty?

Revision rhinoplasty can be considered for patients who have previously undergone nose surgery but still have concerns about the shape, structure, symmetry, or overall appearance of their nose.

Because the nasal anatomy may already have been altered by previous surgery, revision cases can be more complex than primary rhinoplasty. The surgeon must carefully assess the existing structure, scar tissue, skin condition, and available cartilage before creating an individualized surgical plan.

In this case, an open rhinoplasty approach was selected to provide greater access to the nasal framework and allow precise structural correction.

Why Use Rib Cartilage?

In revision cases, there may not be enough suitable cartilage remaining in the nose to provide the support required for reconstruction. Rib cartilage can therefore be considered as a graft material when additional structural support is needed.

For this patient, rib cartilage was used as part of the surgical plan to help reshape and support the nose. The objective was not simply to create a dramatic change, but to achieve a more refined nasal bridge and tip while maintaining proportions that complement the patient’s facial features.