Question: What are some reasons why someone might not have enough septal cartilage for use for a graft for rhinoplasty?
Answer: Septal cartilage is cartilage taken from the middle of the nose inside of the nose. It is the most common site taken for grafting of the nose since it is simple and easy to do. Quite often, we have quite a significant amount of cartilage here. However, if somebody previously had a septoplasty, which is the surgery to straighten the inside of the nose, there may not be enough septal cartilage left. Also, with the anatomy of the nose, the nasal septum consists of cartilage and then two bones. Occasionally, these bones may make more of that septum and the cartilage may be less relatively and there may not be enough cartilage. Also, in cases where a lot of grafts are needed, the septum does not have enough cartilage to perform these grafts.