Hello, my name is Dr. Oleh Slupchynskyj and I'm a double Board Certified facial plastic surgeon. This video demonstrates the harvesting of auricular or ear cartilage grafts for revision rhinoplasty. Typically, auricular cartilage is harvested from the conchal area of the ear. In this picture we can see that the patient had a previous revision rhinoplasty by another surgeon where he attempted to remove cartilage from the scaphoid fossa, causing scarring and poor cartilage quality, leading to another revision rhinoplasty.

Once the cartilage has been harvested, it can be carved into many different graft pieces including strut grafts, shield grafts, batten grafts, spreader grafts, and other related grafts in rhinoplasty reconstruction. In this particular case a cartilage shield graft is being fashioned and also a cartilage strut graft.

The strut graft is then placed in between the medial crura of the lower lateral cartilages and secured using a five-oh or six-oh nylon suture.

A cartilage shield graft is then placed and secured using a five-oh or six-oh nylon suture. This will add support to the tip and reduce bulbosity.

In the next couple of slides we'll see some case studies where auricular cartilage grafts have been used to restore structure, projection and reduce bulbosity in revision rhinoplasty cases.

Auricular, or ear cartilage, harvesting and grafting are useful in revision rhinoplasty cases where septal cartilage is not available and other grafting materials are not an option. Thank you for watching this instructive video. My name is Dr. Oleh Slupchynskyj double Board Certified facial plastic surgeon.

Revision Rhinoplasty Using Auricular Cartilage Grafting

Dr. Oleh Slupchynskyj demonstrates the technique for harvesting auricular cartilage from the ear to use as a shield and/or strut graft during a revision rhinoplasty.