This case is by Dr. Jin Hong Ryul.
He did a rib cartilage nose job for more than 15 years.
Dr. Jin can harvest the rib with Small incision (less than 1.5cm).
Dr. Jin Hong-Ryul also harvest the rib without any complications such as peumothorax or severe pain.
He does not cut the muscle and only retract it and this helps to reduce pain.
Many patient worry about warping of cartilage.
This problem decreasded a lot with time, however, a very small percentage still develops warping.
This occurs within 6 months and is managed with revision rhinoplasty or needle rasping at OPD when it is very minor.
Wraping only develops when a major dorsal augmentation is done with one piece of rib.
This can be also prevented with stacking of cartilage piece or dicing of cartilage and wrapping with fascia.
The rib cartilage is a great material for nose job and revision rhinoplasty.
It affords a lot of possibilities for rhinoplasty such as nasal bridge augmentation, tip grafts, and lots of septal grafts, all of which are not possible with other autologous sources.
Hope it helps you to have a good choice.