Dr Jay Calvert

Dr Jay Calvert Publishes On Rib Cartilage Graft

BEVERLY HILLS, Calif., May 12, 2014 – Dr Jay Calvert‘s publication in the May issue of Plastic and Reconstructive Surgery entitled Reconstructive Rhinoplasty: Operative Revision of Patients with Previous Autologous Costal Cartilage Grafts¹ shows how 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 the most current techniques.  Dr Jay Calvert, along with his co-author, Dr. Rollin Daniel are known for performing some of the most difficult secondary rhinoplasty operations in the world of plastic surgery. They and fellow author Dr. Anita Patel, discuss the high level of difficulty and the high revision rate associated with trying to repair patients’ noses when they have already undergone at least one operation with a rib cartilage graft.

Previously, patients who had been treated with rib cartilage grafts for secondary rhinoplasty were considered to be at the end of the road for surgical treatment.  However, following rib graft surgery, not all of these procedures turned out to be satisfactory to the patients and they sought out further surgery to try to improve both functionality and appearance of their noses.

“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

These operations were planned carefully and performed at the highest level possible.  The patients were followed closely to make sure that all that could be done was done to achieve a favorable outcome.  Most patients were treated with some form of re-grafting, either with more 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 2004².

The results were interesting in that the rate of revision surgery after the initial revision surgery by Dr. Jay Calvert was 24%.  The national average for revision among all rhinoplasty patients (primary or secondary) is 15%.  However, given the difficult nature of these patients’ problems, that was not unpredictable.  All of the patients had had at least two operations and some had had more than five operations.  The good news was that after those 24% of patients had their second operations with Dr. Jay Calvert, their results were improved such that they did not require any further surgery.

Contact:
Dr Jay Calvert, MD, FACS
465 North Roxbury DriveSuite 1001
Beverly Hills, CA 90210
Phone:  310.777.8800
Web: http://www.drcalvert.com
Email: drcalvert@roxburysurgery.com

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