Nasal cartilage grafting is an essential group of techniques in structure, ethnic, custom, revision and reconstructive rhinoplasties, being the ideal donor sites the nasal septum, ear concha and the rib.
Rib is the choice when all other donor sites are not available for any given reason or, alternatively, when very thick, long or firm grafting is required, specially at the dorsum and septum, and in afroamerican and asian rhinoplasties high complexity revision rhinoplasties.
It is accomplished by means of a thoracic incision underneath the breast, normally from any preferred location at 6th, 7th or 8th rib cartilages.
Great care must be taken to choose as grafting material only the center, core or shaft of the rib cartilage, since the outer cortex or outer layers do warp and are quite commonly unsuitable for the planned technique; however the central portion of the rib cartilage stands straight thanks to the counteracting forces which are of symmetrical nature and therefore end in a neutral balance, preventing the late onset of nasal warping deformities.
Patients warning: only highly experienced surgeons who have underwent optimal training and have performed already a large number of closed and open approach structure and non structure rhinoplasties should execute high end rhinoplasty cases, should they feel capable and comfortable with the challenge.
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DR. ALEJANDRO NOGUEIRA'S RIB CARTILAGE GRAFT HARVESTING CASES PHOTO GALLERY
BEFORE & AFTER
INTRAOPERATIVE & TECHNICAL
See more accessing Dr. Alejandro Nogueira's entire Rib cartilage graft harvesting Before & After gallery of cases.
See more accessing Dr. Alejandro Nogueira's entire Rib cartilage graft harvesting Intraoperative & Technical gallery of cases.
REVIEWS & RATINGS
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- Medicine and Surgery are not exact sciences, therefore it is not possible to foretell the most likely evolution neither establish the most suitable management for each individual case until the moment the physicians can preoperatively evaluate the patient and receive feedback about the postoperative.
- One surgical process can't be fully predictable or be rigidly scheduled on a previous protocol, so the management plan may be modified at any time based on the requirements that could be considered as necessary or most suitable.
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- Every patient's individual satisfaction is somehow unpredictable, since this will depend on multiple particular, frequently unpredictable and sometimes uncontrollable expectation factors of a very much subjective, cultural, psychological and intellectual kind.
- Even when you feel very similar to another patient in their experience, your grade of satisfaction will likely vary significantly, because you are a unique person and every individual has not only a completely unique psyche, but also uniquely individualistic assessment capacities, expectation tendencies and acceptance processes, some of which are unpredictable even in very well mentally balanced patients who reflect adequately and do all the other right and recommended assessments before and after their procedure.
- All images are genuine, trustworthy and real standard views of the "before" situation and the long term settled "after" actual results of Dr. Alejandro Nogueira’s work, as well as true intraoperative surgical views and authentic technical or clinical scenarios depicting real practice hands-on cases belonging to Dr. Alejandro Nogueira's skills and expertise.
- No other professional but Dr. Alejandro Nogueira himself as leading and executing surgeon has carried out the techniques, procedures and surgeries shown in the galleries.
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- The images of results, treatments, techniques and clinical situations are mere guidance examples aiming to help the patients in their decision-making process, providing an average overview of Dr. Alejandro Nogueira's work; no one of them can be considered as an obligation of any particular results nor a commitment for the application of any specific techniques, therefore you should not base your results expectations on them.
- Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
- Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
- Previous successful results of a physician do not guarantee future successful procedures and patient's satisfaction.
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