Uploaded by drpaulnassif on Jul 12, 2009
http://www.rhinoplastyspecialist.com
With my examination of Liz, I found that most of the septo-cartilage, which is the septum inside here between the two nostrils, which is a great source of cartilage was GONE! The next thing we can go to is the ear. The problem with the ear cartilage is that its too soft and too curved, and if you want to do something strong for the nose and give it really good shape, you cant use the ear. So, we had a talk about using rib cartilage.
We are just about to start the rib harvest. He's making the incision and we are dissecting through the soft tissue.
Part of the rib is made out of bone and the other part of the rib as you come in closer to the middle part of the chest, is made out of cartilage.
The cartilage is the part that we want to use and we're usually going to carve it and we'll use most of it during the surgery so it's a great source of material for nasal reconstruction.
Were on top of the rib now. Where incising into the rib so we can start to remove it.
Here's our rib. It's all made out of cartilage and that should be plenty.
We put saline into the wound and Dr. P gave what we call positive pressure. That shows that the lining of the lung is intact. Now were going to do a visual of the area.
This is the rib cartilage the we just harvested and its over four centimeters. This is a great piece of rib we just harvested so we'll use this in Liz's nose.
http://www.spaldingplasticsurgery.com
Spalding Drive Cosmetic Surgery and Dermatology
120 S. Spalding Drive Suite 315
Beverly Hills, Ca. 90212
Tel: (310) 275-2467
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