In the world of plastic and reconstructive surgery, when Dr. Jay Calvert publishes anything, physicians and patients pause hoping to learn the most current trends and techniques. With Dr. Calvert’s latest publication in the May issue of Plastic and Reconstructive Surgery, entitled “Reconstructive Rhinoplasty: Operative Revision of Patients with Previous Autologous Costol Cartliage Grafts” shows a sample of revision rhinoplasty patients who have had at least two previous rhinoplasty operations including one with rib cartilage has the possibility of nasal repair when skilled rhinoplasty surgeons use state-of-the-art techniques.
Dr. Jay Calvert, along with his co-author, Dr. Rollin Daniel, are renowned for performing some of the most complex secondary rhinoplasty procedures in the world. They, along with fellow author Dr. Anita Patel, discuss the complex level of difficulty and the high revision rate associated with attempting such a repair to patient’s noses when they have already undergone at least one operation with a rib cartilage graft.
Why is this news such a break through? Previously patients who had been treated with rib cartilage grafts for secondary rhinoplastery were considered to be out of options for surgical repair. However, following rib graft surgery not all procedures turned out to be as satisfactory to the patients and they often sought out additional surgery to improve both function and appearance.
“When I was approached by a group of patients with problems after rib grafts, I had to set their expectations and my own expectations appropriately. There was no way to know what could be done in these difficult situations and we all had to work together to achieve the best results possible.” -Dr. Jay Calvert
All operations were planned carefully and performed using the highest manner possible. The patients were followed closely to insure that all which was possible to be done for them was used to achieve an optimal outcome. Most patients were treated with some form of re-grafting, either utilizing rib cartilage, ear cartilage or with Diced Cartilage and Deep Temporalis Fascia, a technique first reported by Dr. Rollin Daniel and Dr. Jay Calvert in the same journal in 2004.
The results were intriguing in that the rate of revision surgery after the initial surgery revision by Dr. Jay Calvert was 24%. The national average for revision among all rhinoplasty patients (primary or secondary) is 15%. Given the the difficult nature of these patient’s problems, that was not unpredictable. All patients had at least two operations and some had more than five operations. The pleasing outcome was after those 24% of patients had their second operations with Dr. Jay Calvert, their results were improved to the extent they did not require any additional surgery.
Dr. Jay Calvert is a Board Certified Plastic Surgeon with practices in Beverly Hills and Newport Beach, California. He is the creator and founder of the renowned Rox Center. Dr. Calvert performs all types of plastic surgery and its easy to see that with his attention to both care and detail why he is one of the most sought after plastic and cosmetic surgeons in the world. Melding seemlessly both function and aesthetic beauty with impressive surgical outcomes.
Jay Calvert M.D., FACS, Board Certified Plastic Surgeon
Dr. Jay Calvert, MD, FACS
465 North Roxbury Drive Suite 1001
Beverly Hills, CA 90210
Listen to Dr. Calvert discuss Revision Rhinoplasty: