To Reverse a Failed Contracted Nose Revision, Start by Identifying the Symptoms!

  One of the most important parts of the face is the nose.

It is also one of the most three-dimensional and protruding areas of the face,

so when people want improvements in an external feature,

they end up thinking a lot about it.

People undergo nose improvement for various reasons,

and although they make a determined decision to correct a complex,

if the result turns out in an undesired direction,

they become concerned about having it done again.

The most important thing in reversing a failed result is

to identify the symptoms and perform contracted nose revision with the right method.

  An imprudent surgical plan, excessive desire, or the medical team’s surgical method and aesthetic sense

can cause not only dissatisfaction with the shape of the nose, but also secondary problems such as

the nasal tip lifting or the implant moving excessively.

Among various problems, the most common and serious one is contracture.

Nasal contracture generally occurs due to an inflammatory reaction caused by a foreign implant such as silicone.

If inflammation continues for a long time, normal tissue changes, causing the skin to contract,

and eventually the shape of the nose becomes twisted or elevated, while the skin and tissue harden.

Those seeking contracted nose revision may experience failure not only from visible inflammation,

but also from symptoms such as the nose swelling and going down repeatedly,

the nose becoming shorter, the nasal tip lifting, and hardening.

For those looking for a way to improve the failure of contracted nose revision for these reasons,

today we would like to explain methods that can be improved according to the symptoms.

When improving the nose again, it is necessary to proceed with an appropriate method according to various symptoms,

not just contracture.

At our clinic, we provide customized improvement using different methods depending on each case.

First, in cases where the space for the implant is偏 to one side or where the bridge shape is made uneven,

or when the nasal bridge is crooked,

we make the space for the implant the same on both sides.

A slight movement of an inserted implant is not a surgical mistake,

but if it shakes severely, it means the silicone was not fixed in the correct position.

In such cases where the implant moves,

we place the implant precisely under the periosteum and secure it.

If the skin is naturally thin or has become thin after surgery,

and the implant shows through,

we improve it by wrapping the implant once with the temporal fascia before inserting it.

In severe cases, we increase it using only autologous dermis or cartilage.

If the height of the implant was designed incorrectly without considering facial balance,

and the nasal bridge is too low or too high,

we simply improve it by raising or lowering the height of the implant used while considering the overall facial proportions.

If the implant used does not match the base of the bone, or if the skin has become thin and

the edges of the implant are visible on both sides of the nose,

we perform different correction methods depending on the cause.

If the phenomenon is caused by a mismatch with the base of the bone,

we sculpt the implant to match the base, smooth both sides, and reinser it.

If the skin has become thin,

we perform a corrective procedure to reinforce the thin skin.

If the implant is extended too far to the nasal tip or if contracture causes the nasal tip to lift,

and a contracture phenomenon occurs,

we adjust the length of the implant before the nasal tip turns red and deforms,

or lower the raised nasal tip with dynamic nasal tip surgery.

  Among these, contracted nose revision is especially common and difficult to correct, as many people seek it.

Even if it is done again, simply lowering the nasal tip using autologous cartilage

may cause it to rise again over time.

At our clinic, through dynamic nasal tip surgery,

we lower the nasal tip using autologous cartilage and firmly fix it to the alar cartilage,

preventing it from lifting again over time and improving the nasal tip smoothly.

Even if you do not have enough cartilage due to multiple surgeries,

you do not need to worry, as we can raise the nasal bridge and extend the length of the nasal tip using rib cartilage.

Usually, when using rib cartilage, cartilage from the 6th or 7th rib had to be harvested,

which had the drawback of leaving a 3 to 4 cm incision line.

At our clinic, we use the 10th rib cartilage, which is easier to harvest,

and collect it through a 1 to 1.5 cm incision, so the scar line later fades almost completely and is not very noticeable.

  When planning another revision to improve a failed result and correct contracture, the important points are

identifying the symptoms through proper examination, the skill of a trustworthy medical team, and customized improvement.

First, at our clinic, we use 3D-CT to identify the current condition of the nose and the structure of the bone and soft tissue at the same time.

  In addition, the dedicated

plastic surgeons, Chief Director Kim Jae-hun and Director Park Seong-wan,

provide their best efforts through one-on-one consultations, customized improvement based on an appropriate plan, and recovery management.

If you have been looking for contracted nose revision to reverse a failure by identifying the symptoms?

Get a consultation now.