Rhinoplasty,
There is a way to avoid having it done twice!
![[Eton TV] Rhinoplasty: There Is a Way to Avoid Having It Done Twice! image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/9d1363f58e3b9299193f2916a72ef2aef13be56d29263be5e41c510087536e0b.jpg)
If you look at communities related to rhinoplasty,
there seem to be two equally strong opinions:
"If nose surgery is done right the first time, it lasts a lifetime," and
"You have to do it multiple times."
Both viewpoints make sense,
but I lean more toward the idea that it can last a lifetime.
An implant is something that did not originally exist in our body,
so it is natural to wonder whether it can really remain unchanged
for decades without any problems.
Of course, that is a reasonable thought.
When an external substance enters the body,
our body has a tendency to isolate it.
Around an implant such as silicone,
the body creates something called a "capsule"
and separates it as if it were outside the body.
There are cases where problems occur because of the physiological properties of the capsule itself.
But silicone itself acts like a substance outside the body,
so it is hard to say that silicone itself causes the problem.
This means that the implant does not need to be replaced periodically
like changing engine oil in a car.
It is not as if the implant has a fixed lifespan
and must be replaced every 5 or 10 years,
but if side effects occur through interaction with the capsule,
then it has to be managed accordingly.
The capsule can be seen as a kind of scar tissue.
It is a structure formed densely from things like collagen.
When the body is exposed to an external substance like silicone,
it tries to get rid of it,
but silicone particles are too large to break down.
So the body surrounds it and effectively separates it,
even though it is inside the body.
However, because of the nature of the capsule,
there are cases where immune cells have difficulty penetrating it.
If bacteria invade at this point, problems can arise.
They may enter directly through a wound,
or through mucous membranes,
or bacteria that enter the body through scaling or other wounds
may travel through the bloodstream and invade.
Most minor bacterial invasions are handled by immune cells,
but
if harmful bacteria settle in the capsule,
the capsule can act like a fortress
and the infection can continue.
If the infection becomes severe, complications such as pus discharge
or significant swelling can occur.
If the infection progresses slowly,
contracture can occur,
where the capsule shrinks and the shape of the nose becomes distorted.
But the probability of these side effects,
based on what I have studied,
is under 1%, and in actual clinical practice it seems even lower than that.
It is a very low probability.
If the probability is this low,
why do so many people have revision surgery?
Of course, some revision surgeries are due to direct problems such as inflammation, infection, or contracture,
but
a far more common reason is that
"the shape is a little different from what I expected."
In other words, dissatisfaction with the shape.
Some people are unhappy from the beginning,
but in other cases the shape changes over time.
It was fine at first,
but as time passes,
the nasal tip may drop lower
or the angle may decrease.
The shape of the nose usually uses cartilage material,
and as the cartilage is absorbed or loses strength,
the structure can weaken and the shape can change.
From the patient's perspective,
this is a very worrying factor.
However, there are ways to prepare for or prevent such deformation.
Because it can be absorbed or deformed by external force,
it is important to use sturdy materials whenever possible
and perform the surgery in a robust way.
For example, if a material has a strength of 100,
you create a structure that only needs to use about 70.
Since the skin cannot stretch infinitely,
rather than making overly dramatic changes,
you approach it in a slightly more supportive way.
Rather than pushing the material to its limit,
it is better to leave some room.
If you can do 100 but use it exactly at 100,
then even a slight loss of strength can lead to more deformation.
So operating in a safer direction ultimately helps maintain the result for a long time
and achieve a satisfying shape.
Even during revision surgery, if you become too ambitious and raise it right to the limit,
deformation can happen again.
As the saying goes, "too much of a good thing is not good,"
so while it is understandable to want a higher bridge,
whether it will stay that way for a long time and remain stable is another matter.
In fact, people coming in for surgery usually want it to be finished in one go.
In the clinic, patients often say,
"I really don't want to have more surgery,"
and I'm sure everyone feels the same way.
Of course, there are very rare people who think nose surgery should be done three times,
but how many could there really be?
If it can be solved all at once and improve, that is the best outcome.
Rather than wanting too much, it is important to discuss thoroughly with the medical staff
what structure can realistically be maintained well.
Along with the hopeful message that rhinoplasty can last a lifetime if done properly the first time,
I also talked about the causes of side effects and revision surgery,
and practical ways to prevent them.
💡
To summarize once again:
Rhinoplasty implants do not have a set lifespan,
so periodic replacement is not necessary!
Although infection or contracture due to capsule formation can rarely occur,
the probability is very low!
The biggest reason for revision surgery is not side effects,
but dissatisfaction with the shape!
Using sturdy materials and keeping a safety margin,
without overdoing the surgery,
is the key to long-lasting results—don't forget that.
As always, we support your healthy beauty.
Thank you. 😀
![[Eton TV] Rhinoplasty: There Is a Way to Avoid Having It Done Twice! image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/436a5f9ebb67153544469faca667700f72703de849afdd0699fe90fda59633d6.png)
![[Eton TV] Rhinoplasty: There Is a Way to Avoid Having It Done Twice! image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/c8449358017b76155d93d27ee5442a7a6ceab6484de2243765fece1846c00819.png)
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![[Eton TV] Rhinoplasty: There Is a Way to Avoid Having It Done Twice! image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/99a9d8363993223c51596689d569c773fe415036292611009b117a2d82a31959.png)