Mr. Z

My last post prompted me to investigate Dr Jay Calvert since Daniels' office recommended them for male revision rhinoplasty.

I went to his site and was initially turned off by all the advertising for his signature skin care whatever that is. If he is a rhinoplasty specialist he shouldn't have to bother pushing other money makers like that.

He has plenty of before and after pictures and I like how he sub-divides them into categories. He even had a category for revision rhinoplasty using a rib graft. This was an instant red flag for me because that is what I had done with another doctor and the rib cartilage was a bad choice. It warped severely on me. It doesn't always happen right away for me it took about 18 months to start. Now my nose is slanted to one side, I can't breathe out of it and it looks really bad.

On the before and after pics for rib grafts Dr Calvert doesn't list how long post-op they were taken but judging from the swelling it looks like they were 3 to 6 months after. Mine looked good too for the first year! Most of those will not look like that 2 or 3 years post op once the cartilage warps.

My overall impression of Dr Jay Calvert from his site is that he isn't a bad surgeon but because he uses rib cartilage I personally wouldn't go near him for a revision.

MariaSan

Check your PM Mr Z

James R

My question for you has to do with rib warping over time, which you emphasized in your review. Dr Calvertand and others are using diced rib in a layer of fascia. They state in articles that these grafts don't warp over time, and they have been using them for the last decade. Do you or anyone else on this website know of any data or personal patient experiences confirming or refuting this...
Thanks!
J

JonathanA

With respect to rib grafts - is there any substantial difference in warping between autologous and cadaverous rib? Some doctors prefer one over the other while others will use both.

Any info is appreciated.

Thanks,
Jon

robyne00

Jonathan,

You might want to start a new thread.

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inthepink

Need help finding doctors for revision rhinoplasty
I have had a 2 rhinoplasties that I am very unhappy with. My nose was a ski jump nose but after jaw surgery when I was a kid with braces my alar base was widened. I always liked my somewhat scooped bridge and ski jump but when I went in I came out with a pudgy looking tip and a big rib graft in my nose with a high insertion point and the doctor had tried to harvest cartilage from my septum but it was of poor quality. After the surgery I had a tear in my septum and had to have the hole repaired and the doctor used cartilage from my ear. Anyway, I am still now left with an amorphous nose with too big of a bridge. I was told by a local doctor (in West Coast Canada) that was I should have had done was had my collumella reduced. Anyway, I really really want to see someone great who can deal with this. I have seen Dr. Toriumi in Chicago and I was not really interested in what he proposed, I have also flown to Baltimore for a consult with Dr. Le and had a Skype consultation with Drs. Solieman and Litner.

inthepink

Just wondering HOW do you start a new thread????