[Garnet Plastic Surgery Press Release] Points to Be Careful About in Revision Surgery for Contracted Noses and the Features of Autologous Tissue Revision Rhinoplasty

Hello, this is Garnet Plastic Surgery!

Among plastic surgery procedures, the area that undergoes revision surgery most often

is the nose.

In particular, when an implant used in rhinoplasty causes side effects,

the nose gradually becomes shorter and

presents upward turning. This condition is called a “contracted nose,”

and in such cases, revision surgery is

necessary to correct the shape.

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In revision rhinoplasty, it is not an exaggeration to say that the success rate depends on the amount of skin

and the stability of the tissue,

so you must

have a one-on-one consultation with a board-certified plastic surgeon

and decide on the timing and

surgical method for revision rhinoplasty.

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Today, through the following article, let’s learn about the points to keep in mind when undergoing revision surgery for a contracted nose,

as explained by Director Baek In-soo of Garnet Plastic Surgery.

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Revision surgery for a contracted nose: What should you be careful about, and what are the characteristics of autologous tissue revision surgery?

Among plastic surgery procedures, the area that most often undergoes revision surgery is the nose.

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◆Nose revision surgery that requires caution

Director Baek In-soo of Garnet Plastic Surgery in Apgujeong (regular member of the Korean Society of Plastic and Reconstructive Surgeons) said, “Cases that absolutely require nose revision surgery are when side effects such as inflammation or contracture occur.” He added, “Nose revision surgery is often performed for various reasons, and if the cause of failure in the first surgery is not properly addressed, it can easily lead to a second or third revision surgery, so caution is needed.”

A contracted nose refers to a condition in which, after nasal surgery, inflammatory reactions and changes in the implant capsule cause the nose to become red or hard, and the tip of the nose to turn up excessively, resulting in a change in shape. Functional problems that make breathing uncomfortable may also occur. It becomes difficult to breathe smoothly due to septal cartilage deviation, nasal valve obstruction, and other causes. In addition, nose revision surgery may also be decided due to dissatisfaction with appearance, such as a drooping nasal tip or nasal length.

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◆It is important to check the amount of skin and tissue stability

When performing revision rhinoplasty, it is most important to check the amount of skin and the stability of the tissue before proceeding.

Director Baek In-soo said, “If there is not enough skin slack during surgery, the implant or inserted cartilage may show through, and problems similar to those in the first surgery may appear.” He also added, “We recommend proceeding only after at least 6 months have passed since the first surgery, and depending on the situation, after about 1 year to 1 year and 6 months, when the tissue has become sufficiently stable.”

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◆Removing previous problems is essential

When performing revision surgery for a contracted nose, the problems from the previous surgery must first be removed.

The previously used implant or cartilage materials must be removed, and scar tissue and inflammatory tissue created by the earlier surgery also need to be removed. After that, the septum should be reconstructed with autologous cartilage material, and the nasal tip should be lowered to extend the length and correct the shortened shape of the nose. Then, the contracture that has developed in the skin and soft tissue, either partially or overall, should be released, and the shape should be reconstructed with autologous dermis or fascia to finish the procedure.

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◆Use of autologous tissue

In general, rhinoplasty uses silicone for the nasal bridge and autologous cartilage for the nasal tip.

Director Baek In-soo explained, “However, if problems occurred due to an artificial implant in the first surgery, it is safer to use autologous tissue such as ear cartilage, septal cartilage, rib cartilage, or autologous dermis rather than using the same artificial implant again during revision surgery.”

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Because autologous tissue is a surgery performed using tissue harvested from the patient’s own body, it lowers the possibility of inflammatory reactions that can occur due to artificial implants. In particular, when performing revision rhinoplasty with autologous dermis, elastic and soft tissue is harvested from areas such as the buttocks or thighs and used, so the shape changes more naturally. Since it is tissue that was originally part of one’s own skin, it settles naturally after surgery and can reduce an awkward appearance.

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Director Baek In-soo said, “A contracted nose is a highly difficult type of revision rhinoplasty in which the nose’s shape and function have changed, and the process is complex because it involves removing the previous implant and inserting autologous tissue.” He added, “For safe revision surgery, it is best to consult and make a decision with a specialist who has extensive clinical experience and has handled many cases.”

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Source: Medical World News http://medicalworldnews.co.kr/news/view.php?idx=1510954196

You can also learn through the video above

what kinds of cases absolutely require nose revision surgery,

and when the appropriate timing for revision surgery for a contracted nose would be.

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