Composite Graft Beverly Hills
WARNING: Graphic Surgical Content
Composite ear cartilage grafts are pieces of cartilage and skin taken from the ear. The cartilage and skin are still attached to each other, which is why it is called a composite graft. In rhinoplasty, composite ear cartilage grafts are usually used to help lower severely retracted nostrils. Alar rim grafts can lower the nostrils 1-2 millimeters, but when the nostrils are more retracted, like in these pictures, composite grafts may be necessary. The graft is harvested from a part of the ear that is well-disguised, and the incision heals so well that it is essentially invisible. The shape and strength of the ear are unchanged after harvesting composite grafts.
The picture on the left shows the area from which the skin and cartilage is harvested. The skin on either side of the wound is able to be sutured back together. On the right, you can see that the area heals with no visible scarring or ear deformity.
This is another example of an ear that has healed after composite graft harvest.
This is an example of the composite graft after it has been harvested. On the left, the skin side is facing the camera, while on the right, the cartilage is seen.
This is a patient before and after placement of bilateral composite grafts to lower the nostrils.
This is a view inside the nose after the composite grafts have healed. As you can see, the inside of the nostrils appear completely normal.
This gentleman had undergone 2 prior rhinoplasties by another surgeon, and had developed severe retraction of the nostril. As you can see in the 7-month after photos, a composite ear cartilage graft can be very helpful in lowering the nostril to the proper level.