We can discuss this when you meet face to face :). The reason why patients want their own rib cartilage to be used is because it is aimed to use the most reliable tissue The reason why they want to use cadaver rib cartilage can be summarized as they do not want additional incision, anesthesia time and pain. As rib cartilage, rib cartilage obtained from the patient's own rib or from another human cadaver can be used. It is ideal to use rib cartilage, which is harder and more robust, in lifting and supporting the tip of the nose. It can be used to support the nasal wing or in cartilage graft applications for the dorsum of the nose. Auricular cartilage is highly elastic and curved. It is appropriate to use rib cartilages, which offer a hard and durable cartilage tissue, in patients with rheumatoid arthritis. Various deformities such as nasal tip sagging and saddle nose deformity have emerged due to various reasons, where the nasal septum cartilage was resected to a great extent (as in patients with severe nasal septum deviation), the patient was not resected and graft was not applied to the area responsible for nasal cartilage support during the operation. If the tip is too large or small, it can throw your whole face off. However, they may be very unhappy with the tip of their nose. A lot of people may be fine with the general shape of their nose. This cosmetic surgery is for the lower third portion of your nose. In patients who have had a large amount of caudal septal cartilage resection, sometimes larger cartilage grafts (septal extension graft) or tongue-in-groove technique can provide support for the caudal septum again. The name of the procedure is nasal tip rhinoplasty or nasal tip refinement. A flat columellar strut graft was placed in place of the cartilage area removed from the caudal part of the nasal septum at the tip of the patient's nose. In the photo on the left, the patient with a deviation of the caudal septum and the caudal part of the septum can be seen from the left nostril when viewed from below, an open technique rhinoplasty operation was performed and alarplasty operation was performed together to make the nostrils more symmetrical. In this way, patients with septum deviation can notice the caudal part of the septum when they lift the tip of their nose with their fingers. In this case, which is called anterior septal dislocation or caudal septum deviation, there may be differences between the asymmetry at the tip of the nose and the nostrils. The lowest part of the nasal septum, that is, just behind the columella and which should normally be felt in the midline, may be siloed to the right or left after direct trauma to the tip of the nose.
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