Dr. Nassif: So we’re just about to start the rib harvest and Dr. Wyatt, who’s a wonderful plastic surgeon, is going to start and I’m going to assist him. So he’s making an incision and we’re dissecting through the soft tissue, the subcutaneous tissue.
Part of the rib is made out of bone and the other part of the rib as you come closer to the inside 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. We’ll use most of it during the surgery so it’s a great source of material for nasal reconstruction, it’s wonderful.
So we’re on top of the rib right now. Now we’re 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 I’m about to pierce what we call positive pressure. That shows that the lining of the lung is intact. Then we’re going to do a little visual of the area, we’ll just take a peak. So most of that was more of an intracartilaginous removal; a part portion of it was full.
Now what we’re doing is we’re closing the incision. So this is the cartilage rib that we just harvested and it’s over four centimeters. And this is a great piece of rib we just harvested so we’ll use this in Liz’s nose.
Today it’s her three month post-op. She looks great, she’s still healing and she’s still swollen. She can breathe a lot better than before surgery; she’s exactly where she should be. And right now the way it looks this hopefully should be her last surgery. I’m extremely happy with where she’s at right now, I love her nose, and it’s only going to get better.