Total Nose Removal (Removal of Donated Rib Cartilage, Cartilage Repositioning)

Case Review

Hello, this is Chamin Plastic Surgery.

Today, we would like to introduce a case of a patient who underwent nose removal surgery.

What Is Chamin Total Nose Removal Surgery?

After rhinoplasty,

• Inflammation and side effects

• Deformation of the nasal tip (bending, asymmetry, sharpness …)

• A short and upturned nasal tip caused by contracture

When various problems occur, this surgery removes the implant and all transplanted cartilage, and through nasal tip cartilage repositioning, returns the deformed nasal tip to its original position and shape.

Total Nose Removal Surgery Case

Chamin Plastic Surgery Clinic

｜Surgical history from another hospital

• Septal deviation surgery

• Nasal tip surgery using donated rib cartilage

｜Condition of the nose before surgery

During the septal deviation surgery, excessive septal cartilage was removed, leaving very little cartilage and only the remaining mucosa in a bent state.

｜Reason for undergoing total nose removal

After rhinoplasty three years ago, the patient felt severe discomfort from a foreign-body sensation, and chose total removal surgery due to anxiety that side effects might occur from the donated rib cartilage.

In addition, from an aesthetic standpoint, the patient wanted to improve the area where the bridge and tip were not connected naturally, and the bridge and nasal dorsum looked bumpy like a hump nose, and hoped to return as much as possible to the nose shape they had before surgery.

Case Review of Total Nose Removal Surgery

Chamin Plastic Surgery Clinic

Before surgery / 1 month after surgery, frontal view

After total removal, the nose has naturally returned to the shape of the original nose.

Before surgery / 1 month after surgery, 45-degree view

The area that had looked like a hump nose because the bridge and tip did not connect naturally, and the area where the nasal tip had become excessively high due to the donated rib cartilage, have come down, forming a natural nasal line.

Before surgery / 1 month after surgery, side view

From the side as well, the nasal tip is lower, but the overall nasal line is more natural.

Removed foreign materials

These are the foreign materials removed from inside the patient’s nose.

Before / 2 months later

After total nose removal and silicone removal surgery, will the nose become upturned or collapse?

Many people wonder about this, but it can vary depending on the original shape of the nose and, when the nose surgery was performed, the degree of damage and deformation.

Also, in photos, many people think removal surgery is very simple, as if it only involves removing the implant and cartilage inside the nose.

However, both nasal implant removal and total removal are among the more delicate and difficult procedures.

If only simple removal is performed, contracture, upturning of the nasal tip, collapse, and other deformities of the nose may occur even more.

Therefore, after having a thorough consultation with a medical team that has extensive removal experience, you should make your decision.

Why People Visit Chamin Plastic Surgery for Total Nose Removal, Implant Removal, and Early Removal

1. Removal of the capsule + scar tissue

The capsule surrounding the silicone inside the nose may need to be removed depending on each patient’s nasal condition, or may not need to be removed.

At Chamin Plastic Surgery, we carefully analyze the current condition inside the nose and remove the capsule and scar tissue as cleanly as possible.

2. Cartilage repositioning

Only by repositioning the nasal tip back to its original place can the tip avoid collapsing and prevent deformation. That is why Chamin routinely performs surgery to restore the original shape and position of the nose through nasal tip cartilage repositioning in order to prevent shape changes in the nasal tip.

Do I need total removal surgery?

Would implant removal alone be enough?

Cases Where Nasal Implant Removal Is Needed

Original nose Chamin

After receiving surgery using implants such as silicone or Gore-Tex on the nasal bridge, those who experience inflammation, pain such as a foreign-body sensation or pressure from silicone, those who develop headaches, or those in whom the silicone is protruding or showing through the skin, as well as those with psychological anxiety, may have various reasons for needing removal.

Cases Where Nasal Tip Cartilage Repositioning Is Also Needed

Original nose Chamin

If, after nose surgery, the nasal tip has become upturned due to contracture, or the columella and nose have become bent or pinched, and the nasal tip has become deformed or problematic, then nasal tip cartilage repositioning must be performed together during removal surgery.

If you are considering nose removal surgery, we recommend consulting with Director Minseong Kim of Chamin Plastic Surgery.

See more about total nose removal ▼

• All surgeries may involve complications such as bleeding, infection, and inflammation after surgery, and subjective satisfaction may differ from person to person, so please consult with a doctor.

• The patient photos in this post were published with the patient’s consent, and all images are prohibited from unauthorized use and distribution.