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Jin. Plast Aesthet Res 2019;6:19 Plastic and
DOI: 10.20517/2347-9264.2019.28 Aesthetic Research

Editorial Open Access

The key to costal cartilage in rhinoplasty

Hong Ryul Jin

Dr. Jin's Premium Nose Clinic, Seoul 06524, South Korea.

Correspondence to: Dr. Hong Ryul Jin, MD PhD, Dr. Jin's Premium Nose Clinic, Seoul 06524, South Korea.
E-mail: doctorjin@daum.net
How to cite this article: Jin HR. The key to costal cartilage in rhinoplasty. Plast Aesthet Res 2019;6:19.
http://dx.doi.org/10.20517/2347-9264.2019.28
Received: 6 Jun 2019 Accepted: 4 Jul 2019 Published: 9 Aug 2019

Science Editor: Raúl González-García Copy Editor: Jia-Jia Meng Production Editor: Jing Yu

Keywords: Costal cartilage, rhinoplasty, harvesting, carving, application, complication

Autologous costal cartilage is an excellent source of graft in rhinoplasty due to its rich supply, durability,
versatility, and functionality. For a long time, rhinoplasty surgeons have been critical of using autologous
costal cartilage based on the potential for associated complications including donor site morbidities,
postoperative pain, warping, and long operation time.

Even with this criticism, costal cartilage is still a graft material of choice in cartilage depleting revision
rhinoplasty. Recently, there has been a steady increase in costal cartilage use even in primary augmentation
rhinoplasty, especially in Asian. This is attributed to the increased awareness of alloplast-associated
complications and continuously developed techniques to minimize potential complications and maximize
the benefits of costal cartilage.

In this special issue, world-renowned rhinoplasty experts discuss a variety of aspects of costal cartilage
use in rhinoplasty. These include preoperative considerations, harvesting and carving techniques, diverse
clinical applications, and management of complications in costal cartilage use. As veterans in the field of
rhinoplasty, these experts share in great detail invaluable knowledge that can only be attained through
extensive clinical experience and continuous effort toward innovation and mastery of their craft.

First, a national survey of current trends in costal cartilage use in rhinoplasty by Clara M. Olcott and
Steve J. Pearlman will give us a glimpse of the common practice patterns of using costal cartilage in US
facial plastic surgeons. Preoperative considerations focus on determining the availability of the costal
cartilage and the site of harvesting. Costal cartilage calcification is not infrequent even in young patients

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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