[Garnet Plastic Surgery Press Coverage] A Representative Complication of Nose Surgery, Contracted Nose, Requires a Customized Approach

The height and shape of the bridge and tip of the nose

can change the overall impression

even with just a small difference,

making them important factors that influence

dimensionality and atmosphere.

Many people try nose surgery

to address concerns about their nose,

but if symptoms such as inflammation or contracture occur after surgery,

revision surgery for a contracted nose is also considered.

When performing revision nose surgery,

it is important to plan and carry out the procedure

based on an accurate examination,

because only then is full recovery

in both function and appearance possible.

Please learn about the precautions for revision surgery for a contracted nose

and the timing of revision surgery

through the press coverage article featuring

Director Baek In-soo of Garnet Plastic Surgery.

Representative complication of nose surgery, ‘contracted nose’... A customized approach and sufficient consultation are essential

Among those who underwent nose surgery due to a complex about the appearance of their nose, it is common to find people who choose revision surgery because of inflammation and contracture. Unlike general nose surgery, which is performed with the desire to look better, revision surgery for a contracted nose aims to fully reconstruct the shape and function of one’s own nose, so it must be approached from both cosmetic and therapeutic perspectives. Accordingly, more careful consultation, along with accurate cause analysis and diagnosis, is necessary.

◆Features and causes of contracted nose

A contracted nose is characterized by changes in the capsule after an implant is inserted, causing the nose to become red or hard, and the tip to shrink and lift. In most cases, the cause is the silicone implant used during surgery.

Baek In-soo, CEO of Apgujeong Garnet Plastic Surgery and a member of the Korean Society of Plastic and Reconstructive Surgeons, stated, “After surgery, if the area between the eyebrows sometimes swells, the tip of the nose turns red, or skin problems appear on the tip and do not heal well and recur frequently, this means contracture is progressing, so you should visit the hospital immediately at this stage.”

He continued, “Since these problems are caused by the silicone implant, the implant must first be removed during revision surgery. In the case of autologous cartilage, it is not a major issue, and because it is inserted into the tip of the nose, the likelihood of a contracted nose occurring is extremely low. However, silicone is inserted into the bridge of the nose, so the possibility of inflammation is not completely absent. Therefore, after removing the silicone from the nose, surgery to reconstruct the nose must be performed.”

◆There is also a high concern about recurrence of contracture

Many people who have experienced contracture once worry that it will occur again after revision surgery. If silicone is used again during revision surgery, inflammation may occur, and if revision surgeries are repeated multiple times, the likelihood of a contracted nose increases. Director Baek In-soo said, “Therefore, during revision surgery, rather than reusing silicone, it is better to consult with the medical team while considering the use of autologous tissue.”

Among autologous tissues, there are cartilage and dermis, and in the case of autologous dermis, which is located between the epidermis and the subcutaneous fat layer, the necessary amount can be harvested and processed from the buttocks, thighs, ears, and other areas. Because it has excellent elasticity and is soft, it can be shaped naturally, and since it has a high survival rate as autologous tissue, one can expect results that do not look obviously surgical. In the case of autologous cartilage, there are also ear cartilage, septal cartilage, and costal cartilage, so each type can be used according to its characteristics and the current condition of the nose.

◆The timing of revision nose surgery is also important

The timing of revision nose surgery is also important. If inflammation is progressing severely or contracture is severe and the skin is being damaged, revision surgery should be performed immediately. However, if the implant has already been removed or the symptoms of nasal contracture have stopped, it is recommended to wait 충분히 and then undergo revision surgery.

Director Baek In-soo explained, “The more revision nose surgeries are performed, the longer it often takes for scar tissue to mature, and if there is inflammation inside the nose, it may improve during the waiting period, so it is safer to check the current condition and proceed at the appropriate time.”

◆If deformation of the nose shape is progressing

If contracture has already occurred and deformation of the nose shape is progressing, it is best to reconstruct it while also improving the shape so that it looks beautiful and natural. Director Baek In-soo said, “In such cases, you should consult with a specialist who has extensive experience in revision nose surgery and decide whether to treat the inflammation and proceed with revision surgery,” adding, “Revision nose surgery is considerably more difficult than the first surgery, and in the case of a contracted nose, inflammation treatment and silicone removal must also be carried out, so rich clinical experience and surgical expertise are essential.”

He also added, “It is advisable to check the medical team’s know-how and surgical techniques, and after sufficient consultation with a specialist through one-on-one counseling, make a decision with a specialist who can safely perform the surgery while using a customized implant that matches the patient’s needs.”

Source: Medical World News https://medicalworldnews.co.kr/news/view.php?idx=1510955675