How Can You Avoid Further Nose Revision Surgery? [Garnet Plastic Surgery Press Coverage]

Rhinoplasty is one of the most common cosmetic procedures,

and it often involves using an implant to raise the bridge of the nose

and autologous cartilage to elevate the tip.

� However, if side effects such as inflammatory reactions caused by the implant,

contracted nose, nasal deviation, or implant visibility occur,

revision rhinoplasty may be considered.

� To prevent repeated revision nose surgery,

find out what should be done

through the press coverage article by Director Baek In-su

of Garnet Plastic Surgery.

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Rhinoplasty is a popular cosmetic surgery in Korea and is the second most common cosmetic procedure after eye surgery. Unlike Western noses, many East Asian noses are low and broad, so in the first surgery, the most common approach is to use an implant to raise the bridge and autologous cartilage to elevate the tip.

� However, people may decide to undergo revision surgery because they are dissatisfied with the shape or height after surgery, or because of issues arising from using artificial implants on the nasal bridge. The revision rate is quite high. Even in revision cases, there is no guarantee of achieving a fully satisfactory result, so second and third surgeries are also common. In my case, I have even performed a ninth revision surgery on a patient who had already undergone eight surgeries at different hospitals.

� Above all, revision surgery should focus on improving cosmetic dissatisfaction that could not be addressed in the previous surgery or correcting problems that occurred in the previous surgery. To do this, it is important to accurately understand the current internal condition of the nose. These days, using low-dose 3D CT to check the internal condition of the nose can be said to be essential. It is important to check the type, shape, and height of the implant used previously, and to carefully examine the curvature of the nasal bone and septal cartilage in order to determine the direction of the revision surgery.

� In revision surgery, choosing the surgical materials is also an important factor. It is common to replace the silicone implant and proceed with the surgery, but if symptoms such as inflammation or skin irritation occur due to the implant, it may be possible to proceed without using an implant and use only dermis or autologous cartilage. The cartilage materials used for the nasal tip can be selected from ear cartilage, septal cartilage, or rib cartilage. Since ear cartilage and septal cartilage were used in many first surgeries, the use of rib cartilage is gradually increasing.

� When revision nose surgery is needed, at least 6 months should pass after the previous surgery before revision is performed, once the scar tissue has stabilized and softened. While considering the various factors mentioned above is important, the most important thing is to decide whether surgery should be performed and how it should be done through a careful consultation with a board-certified plastic surgeon who has sufficient experience in this field.

� Source: Naeil Newspaper Seocho Gangnam

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