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The Superiority of Rhinoplasty Using Autologous Costal Cartilage Has Been Proven

바바성형외과 · 바바성형외과의원 · November 28, 2024

The Superiority of Rhinoplasty Using Autologous Costal Cartilage Has Been Proven ​ When performing a first surgery or a revision surgery, the nose is operated on using septal carti...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 바바성형외과

Original post date: November 28, 2024

Translated at: April 24, 2026 at 2:38 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

When performing a first surgery or a revision surgery, the nose is operated on using septal cartilage, ear cartilage, costal cartilage, or artificial implants. However, as side effects related to artificial implants have recently become a major issue, more and more people are hoping for plastic surgery using autologous tissue.

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Among autologous tissues, autologous costal cartilage, which can help minimize side effects, is especially preferred and is widely used in highly difficult surgeries such as revision rhinoplasty. This is because autologous costal cartilage has the characteristic of providing firm support, and since tissue is harvested from the patient’s own body, the risk of rejection within the body can be minimized.

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Then from which part of the body is autologous cartilage harvested and used?

It is cartilage located in the ribs.

Most autologous costal cartilage procedures involve making a minimal incision, harvesting only the amount needed from the rib area, and then shaping it through the design of a board-certified plastic surgeon to match the desired nose shape. The harvesting site is usually the cartilage between the 7th and 9th ribs, because only cartilage between the ribs must be harvested in order to minimize the risk of pneumothorax.

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The reason board-certified plastic surgeons recommend autologous costal cartilage is, as mentioned earlier, that because it uses a part of the patient’s own body, rejection can be minimized when the rib cartilage is inserted into the nose. This also provides optimal support for immune stabilization.

In the past, rhinoplasty techniques favored the use of septal cartilage, but it has the drawback of being difficult to harvest enough material to support the nose, and its durability is also significantly lower than that of costal cartilage. Perhaps for this reason, the use of costal cartilage has recently become more common, and many successful cases that satisfy patients have begun to emerge, proving the advantages of costal cartilage. Of course, there are cases performed for patients who feel burdened by harvesting autologous tissue, such as donated rib cartilage, but because the medical reliability of the entire process is higher than when using donated rib cartilage, the number of people choosing autologous costal cartilage is increasing.

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Autologous costal cartilage has better immune response and stability than other implants, and the body’s rejection response to foreign materials is significantly lower than with other implants, so it can be said to offer excellent safety against side effects that may occur during rhinoplasty.

In addition, when performing rhinoplasty, the functional aspect is important, but improving the overall appearance is also one of the most important factors. When improvement to a desired design is sought, a surprisingly large amount of implant material may be inserted. For this reason, autologous costal cartilage has the major advantage of allowing the amount needed to be harvested, and because it offers more diverse design possibilities than using septal cartilage or ear cartilage, it can be said to be an implant that satisfies both the patient and the medical team.

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However, because it is more expensive than other implants, many people actually hope to use it for revision surgery. Still, autologous costal cartilage is suitable for both first-time surgery and revision surgery. Its stronger durability than other implants, along with the amount of costal cartilage that can be harvested as mentioned above, makes a variety of designs possible, so it is also suitable when a striking increase in nose height and length is desired from the first surgery.

The Superiority of Rhinoplasty Using Autologous Costal Cartilage Has Been Proven image 6 VAVA Autologous Costal Cartilage Rhinoplasty: What Makes It Different?

There are many specialized plastic surgery clinics that recommend the use of costal cartilage, but the harvesting process itself is actually extremely difficult. Therefore, it is important to choose a specialist with extensive clinical experience, from the harvesting process to the process of designing the costal cartilage and inserting it into the rhinoplasty area. VAVA Plastic Surgery has specialists with countless cases related to rhinoplasty, and by providing consultations, professional assessment of the patient’s nasal condition through 3D-CT, and precise guidance on possible designs, it can offer an aesthetic medical solution optimized for the patient both medically and cosmetically.

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VAVA Autologous Costal Cartilage Rhinoplasty Process

ⓐ Analysis of the patient’s condition through advanced equipment used for nasal examination

ⓑ Autologous costal cartilage harvesting and surgical process performed through a minimal incision

ⓒ Costal cartilage design for a nose shape optimized for the patient

ⓓ Costal cartilage insertion and overall rhinoplasty performed in a sterile environment

ⓔ Safe and reassuring even after surgery with thorough post-operative care

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At Baba Plastic Surgery Clinic, all autologous costal cartilage surgeries and rhinoplasty procedures are performed through minimal incisions. This is because the clinic has a medical motto of idealizing and putting into practice the minimization of secondary scarring that may occur after rhinoplasty.

All rhinoplasty procedures are surgical operations that should not be rushed in surgery or care. Therefore, from the beginning of the patient’s treatment until the final moment when surgery is completed and daily life can resume, we will not simply carry out medical procedures, but will do our best to leave each individual with the best possible results.

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