Strong Correction of Contracted Nose and Columella Repair with Autologous Tissue

Hello. We are Mary Plastic Surgery Clinic, pursuing natural and beautiful changes.

If you decided to undergo rhinoplasty to become more beautiful, but the results were not as expected, the disappointment could be great.

If, in addition to being dissatisfied with the shape, unexpected reactions such as inflammation also occur, it is not only disappointing but can also lead to revision surgery.

Revision rhinoplasty is a procedure that must correct the shape while also identifying the cause of the first surgery’s failure so the same problem does not recur, which makes it a more difficult operation that requires a more systematic approach.

Today, we will explain a typical rhinoplasty complication, contracture symptoms, along with the columella repair surgery method for contracted noses that helps improve it.

What Is a Contracted Nose?

As mentioned earlier, rhinoplasty complications were classified into various types.

Not only can satisfaction with the shape decline, but complications caused by inflammation or implant deformation can also occur after surgery, so special caution was needed.

Among them, the contracted nose phenomenon is a representative complication of rhinoplasty.

Contracture refers to a complication in which skin that has become inflamed by an implant hardens and shrinks, causing the nose to lift upward.

Because it is very noticeable externally and can make the nose look upturned or short, many people hope for quick improvement. However, attempting revision surgery too hastily can instead increase the frequency of revisions, so rather than rushing into surgery, it is possible to help reconstruct the nose naturally through systematic analysis and columella repair surgery for a contracted nose.

What Is the Columella?

One reason the nose looks unnatural when contracture occurs is that the columella becomes shorter and the nostrils are more exposed.

The columella is the area that acts as a pillar between the two nostrils, and depending on its shape and angle, the nostrils can appear larger and the nose can look shorter.

Therefore, when contracture occurs, it is important to lengthen the nose while also aesthetically shaping the columella at the tip of the nose through columella repair surgery for a contracted nose.

What Is Columella Repair Surgery for a Contracted Nose?

So, how can the columella be improved?

Because the shape of the nose and the impression of the face both change depending on the protrusion, length, and shape of the columella, we examined the degree of deformity such as the extent of collapse and bending of the pillar and established the surgical plan accordingly.

When the skin shrinks due to contracture and the columella rolls upward with it, it is important to first identify the degree and cause of contracture and the extent of damage to the skin tissue, remove scar tissue and inflamed tissue, and prevent recurrence of contracture.

The shortened tip of the nose must be lengthened, and the overall nose shape and structure must be corrected at the same time through composite skin grafting and similar methods.

Mary’s Contracted Nose and Columella Repair Surgery?

At our clinic, for revision surgery for contracted noses, we strive to remove the contracted scar tissue while also using autologous tissue to lengthen the nose and reconstruct it.

It is also important to sufficiently extend the internal cartilage structure and columella tissue of the nose.

Rather than simply performing surgery quickly, we were working to prevent the same problem from occurring again by going through a restorative stage using stem cells so that hardened skin could become more flexible.

In particular, contracture is more likely to occur because the body recognizes the implant as a foreign substance.

Therefore, we remove the implant and scar tissue, and use autologous costal cartilage with strong support to form a safe and sturdy nasal pillar and a stable internal nasal structure.

The clinic director, who has extensive experience in various revision rhinoplasty procedures, personally consults with and analyzes every patient without any proxy surgery and strives to create a beautiful nose that is comfortable for breathing through customized surgery. If you would like to analyze the problems with your own nose, please feel free to visit our clinic.

Thank you.

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