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Hello, this is Garnet Plastic Surgery near Apgujeong Station.
Nose revision surgery has a relatively high revision rate compared with other areas of plastic surgery.
If you have had nose surgery, you may have worried about side effects at least once.
In particular, a “contracted nose,” in which the nose becomes hard and short, is considered one of the worst side effects of rhinoplasty, and treatment and revision surgery are known to require a long time and a great deal of effort.
So, how is “contracted nose revision surgery” performed, and what is the key to success? Please take a look at the detailed explanation through the media coverage of Director Baek In-su of Garnet Plastic Surgery.
The key to revision surgery for the rhinoplasty side effect “contracted nose”…accurate analysis of the cause of failure
Among plastic surgeries, nose surgery is relatively difficult. The soft tissue inside the nose is delicate and easily damaged, and because implants are inserted during surgery, they may be recognized as foreign bodies, leading to inflammation and other side effects, so caution is needed.
Director Baek In-su of Apgujeong Garnet Plastic Surgery, a full member of the Korean Society of Plastic and Reconstructive Surgeons, explained, “There are many people who choose nose revision surgery for various reasons, but if the issue is not simply a drop in subjective satisfaction and instead involves a problem with nasal function or appearance, prompt improvement is necessary.”
◆ Representative side effect of rhinoplasty: contracted nose
Among these, a “contracted nose” is a representative side effect of rhinoplasty. Due to an inflammatory reaction, the tip of the nose becomes red and hard, and it is characterized by being raised, shrunken, and lifted. If left untreated, the nose gradually becomes shorter and its shape becomes distorted, making revision surgery unavoidable.
Director Baek In-su said, “The reason a contracted nose occurs is that the implant inserted during rhinoplasty is recognized by the body as a foreign substance, forming a thin capsule and triggering an immune response. As inflammation occurs, the capsule surrounding the implant hardens, causing the nose to shrink.”
◆ Revision surgery for contracted nose
Therefore, the first step in revision surgery for a contracted nose is removing the implant that is causing the contracted reaction. After opening the nose and dissecting the area, the previously used material must be removed, along with any scar tissue or inflammatory tissue caused by the surgery. After that, various materials can be used to lengthen the nose and correct its shape. It is advisable to reconstruct the septum with autologous cartilage, such as septal cartilage or costal cartilage harvested from the patient’s own body, and design the nose by lowering the tip to extend its length. After that, the contracted soft tissue can be released, and the tissue can be reconstructed using autologous dermis and fascia.
The bridge area of the nose is firmly supported using a new implant or autologous tissue.
◆ Key points of revision surgery for contracted nose
What is important in revision surgery for a contracted nose is analyzing the cause of failure of the first surgery and identifying the problems so that repeat revision surgery does not become necessary. To do this, it is necessary to check whether a specialist with abundant clinical experience and expertise directly identifies the patient’s problems and performs the surgery. Director Baek In-su stated, “Because revision surgery is more difficult than the first surgery, it is important to thoroughly discuss with a specialist what materials will be used and what shape the surgery will take so that the nose is not burdened. By identifying the problem with specialized medical staff who have clinical experience handling various nose revision surgery cases, and by proceeding from consultation to surgery, safe recovery should be ensured.”
Source: Medical World News http://medicalworldnews.co.kr/news/view.php?idx=1510953226
You can take a detailed look through Director Baek In-su’s video
about tips for not failing nose revision surgery!
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