[Garnet Plastic Surgery Press Coverage] When Is the Right Time for Revision Surgery for Contracted Nose and What Are the Precautions?

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If symptoms such as a red nasal tip, swelling between the eyebrows, or a shortened nose appear after nose surgery using artificial implants such as silicone,

contracture may be suspected.

A contracted nose is one of the side effects that appears after nose surgery due to inflammatory reactions and changes in the capsule caused by the implant, so it is important to receive treatment at the appropriate time for revision surgery for a contracted nose.

If you are considering revision surgery to improve side effects,

please refer to the press coverage of Director Baek In-soo below to learn how to establish a surgical plan that suits you and to find out about the timing and precautions for revision surgery for a contracted nose.

What are the precautions for ‘revision surgery for contracted nose,’ where timing is important?

If the nasal tip becomes red or the area between the eyebrows swells after nose surgery using artificial implants such as silicone, contracture may be suspected.

In addition, a shortened nose and bumps on the nasal tip may be part of the contracture process at the surgical site.

◆What is a contracted nose?

A contracted nose refers to a condition in which, after rhinoplasty, the nose becomes red or hard, and the nasal tip rises excessively due to inflammatory reactions and changes in the implant capsule. Silicone implants are identified as a cause of contracted nose.

Baek In-soo, Director of Garnet Plastic Surgery in Apgujeong and a member of the Korean Society of Plastic and Reconstructive Surgeons, said, “If the symptoms of a contracted nose are left unaddressed at the proper time, revision surgery becomes difficult, so it is advisable to visit a hospital as soon as possible and undergo an accurate examination.”

◆Revision surgery for contracted nose

If you are considering revision surgery for contracted nose to improve side effects of rhinoplasty, it is important to make an individualized surgical plan after a detailed analysis of your current condition. Director Baek explained, “During surgery, a process to remove the foreign substances in the nose that caused the contracture, including removal of the nasal implant, is necessary, and revision rhinoplasty should be performed using suitable materials.”

He added, “In general, the timing for revision rhinoplasty is considered appropriate after 6 months to 1 year has passed since the first surgery. However, if the inflammation after rhinoplasty is severe or the skin is damaged due to contracture, revision surgery can be performed immediately. Also, if the implant has already been removed and the contracture has stopped, revision surgery may be postponed for the time being and the progress observed.”

In particular, as the number of revision nose surgeries increases, the maturation period of scar tissue becomes longer, making it less favorable. Small inflammations may improve over time, so in many cases, people wait and monitor the course. The decisive factor in ultimately shaping the nose is the condition of the skin, so the appropriate time for revision rhinoplasty is when the hardened skin becomes soft.

◆Need to check the materials used accurately

To avoid symptoms of a contracted nose, it is important to check exactly what materials are used during nose surgery.

For rhinoplasty, implants used for the nasal bridge include silicone, Gore-Tex, and Gore-Sil, while the nasal tip may use implants such as Medpor and mesh. Director Baek In-soo said, “Because there are many types of implants, it is helpful to know exactly what kind was used so that you can respond appropriately if a problem arises.”

◆Probability of inflammation and contracture is 3%

Sometimes, due to concerns about side effects such as inflammation or contracture, people are reluctant to use artificial implants. However, not all artificial implants cause problems. According to the literature, the probability of inflammation or contracture after nose surgery is about 3%.

Director Baek explained, “For someone who has never had inflammation, the probability of inflammation is very low, so for a first surgery, using silicone is not a bad option. In addition, if the nasal bridge and nasal tip are separated and the nasal tip is raised with autologous cartilage, the probability of inflammation decreases further.”

◆Using appropriate materials is important

However, if the number of surgeries increases and inflammation or contracture has occurred before, the likelihood of contracture may increase. That said, even if silicone is reused in revision surgery, contracture will not necessarily occur, so after consulting with a specialist, it is important to use the material that is suitable for you among autologous tissue and artificial implants. However, in revision surgery, if there was previous inflammation or contracture, the silicone implant was the cause, so whether to reuse it should be decided carefully.

Director Baek said, “If inflammation occurs after nose surgery, you should visit the hospital, receive a consultation, and get prompt treatment.” He added, “To choose a place that performs revision rhinoplasty well, rather than focusing on cost, carefully review patient experiences, check whether an experienced and skilled specialist is on site, and establish a 1:1 customized surgical plan so that the side effects of the previous surgery can be addressed while also considering the shape of the nose during revision surgery.”

He continued, “Even if contracture occurs once after nose surgery, it does not necessarily mean that contracture will occur again after revision surgery. However, if contracture is left untreated, the shape of the nose may become deformed, so it is advisable to consider whether revision surgery is needed after sufficient consultation with the medical team.” He added, “During nose surgery, the nasal tip usually uses autologous cartilage, so it is generally not a problem, but silicone, which can be a cause of contracture, is used in the nasal bridge. Therefore, if silicone is reused during revision surgery, the risk of inflammation and contracture may increase. Accordingly, it is advisable to always monitor inflammation in that area carefully.”

Source: Medical World News https://medicalworldnews.co.kr/news/view.php?idx=1510954685

Whether silicone implants necessarily cause contracture,

what precautions should be taken during revision rhinoplasty,

and when is the appropriate time for revision surgery for a contracted nose

can be checked in more detail through the video above!