Q. If wrapping autologous rib cartilage particles in fascia for autologous rib nose surgery

Hello. I’m Kim Hyung-taek, CEO of Kowon Plastic Surgery.

In this answer note, while searching for information related to revision rhinoplasty, you came across a question and posted it.

I’m here to answer that question.

Q. If wrapping autologous rib cartilage particles in fascia for autologous rib nose surgery

While searching about revision rhinoplasty, I came across a case where, for autologous rib nose surgery, autologous rib cartilage particles were wrapped in fascia, inserted into the nose, and then removed again.

I saw a photo of a capsule-shaped fascia opened to reveal an implant-like mass.

I’m curious whether this can be used, and if it can, what kind of autologous rib nose surgery process would be involved, so I have a few questions.

1. After wrapping autologous rib cartilage particles in fascia and implanting them inside the body, how long would it take for them to become one mass?

2. While looking up videos related to autologous rib nose surgery, I saw that rib cartilage was placed temporarily in the temporal fascia and then removed a week later for nose surgery. If the cartilage particles are wrapped in fascia and the resulting capsule is similarly hardened inside the body and removed, is it realistically possible to extract only the autologous rib cartilage mass and carve it for use?

3. How does the hardness of autologous rib cartilage hardened in this way compare with ear cartilage and septal cartilage?

If you look at the question, you can see that after watching videos related to autologous rib nose surgery, several questions came up and were asked.

I’ll answer them one by one.

1. After wrapping autologous rib cartilage particles in fascia and implanting them inside the body, how long would it take for them to become one mass?

▶ I can’t say exactly, but it would likely take about 6 months.

2. While looking up videos related to autologous rib nose surgery, I saw that rib cartilage was placed temporarily in the temporal fascia and then removed a week later for nose surgery. If the cartilage particles are wrapped in fascia and the resulting capsule is similarly hardened inside the body and removed, is it realistically possible to extract only the autologous rib cartilage mass and carve it for use?

▶ It is realistically possible, but since this is a surgery that can be completed in one session, I don’t think there is a need to divide it into two separate procedures. Simply wrap the rib cartilage particles in fascia and insert them into the nose.

3. How does the hardness of autologous rib cartilage hardened in this way compare with ear cartilage and septal cartilage?

▶ Compared with ear cartilage and septal cartilage, I think it is much harder. In practical terms, if you touch it, you’ll feel that it is firm, at about the hardness of silicone.

Source: https://kin.naver.com/qna/detail.nhn?d1id=7&dirId=70110&docId=384300082&page=1#answer1

https://blog.naver.com/kowon_note/223330250577