Many of my Houston revision rhinoplasty patients have had septoplasty for a deviated septum.  Therefore there is insufficient cartilage remaining in the septum for grafting purposes.  Another source for cartilage when septal cartilage is not available is ear cartilage.  Ear cartilage for revision rhinoplasty can be used mainly around the tip of the nose as it is nicely curved and soft cartilage.  However, when spreader grafts or structural grafts requiring stability are needed, a better option would be rib cartilage.  

Dr. Funk is a top revision rhinoplasty surgeon in Houston, Texas.