Does Dr. Lam perform rib grafting to the nose?
Generally, no. He has performed rib grafts to reconstruct noses and ears and has published his method on nasal rib grafting in the prestigious journal, Plastic & Reconstructive Surgery. However, he prefers not to use rib grafts in most cases for nose enhancement for three reasons. No matter how small the chest incision is to remove the rib, there is still a visible scar. Second, rib grafts are very hard and do not feel natural. The nose is divided into three parts: the upper third of the nose is hard and fixed, the middle third of the nose is semi-mobile, and the bottom third of the nose is very mobile. The rib graft that occupies the upper two-thirds of the nose tends to be very rigid in the way it feels and looks, which is unnatural. Finally, some studies have shown that rib grafts can warp and change shape over a period of months to years. For all of these reasons, rib grafting is not Dr. Lam’s preferred method for Asian rhinoplasty.
