Hello, this is Woori Plastic Surgery.
Today, we’d like to explain the causes of contracture after nose surgery, which can lead to changes in the shape of the nose, along with the principles and structure of rhinoplasty. Nose surgery is not simply an operation to make the nose higher; it is a process of carefully rebuilding the internal cartilage structure of the nose.
How Is the Nose Structured?
Let’s first take a look at the structure of the nose. The nose is basically made up of five major cartilages. When performing nose surgery, these cartilages are incised and exposed, then reshaped, and a supporting framework is built. In this process, various materials such as autologous rib cartilage, septal cartilage, and donor cartilage are used to support the nose and stabilize its shape. Nose surgery can be described as the work of firmly establishing the internal framework of the nose. Depending on how strong this internal framework is, postoperative shape retention and stability will differ.
Skin Tension and Nose Shape
Another important factor that determines the shape of the nose is skin tension. Skin has a certain amount of pull (tension), and when the nose is raised or the angle is adjusted, this tension has an effect. If the framework is short, the nose appears low and flat; if the framework is long, the nose takes on a higher, more upright shape. Therefore, there must be a sufficiently strong framework that can withstand skin tension so that the nose shape does not collapse over time and can be maintained.
Why Does the Nose Shape Deform?
As time passes after surgery, there are cases where the nose becomes lower or the shape shifts, resulting in contracture after nose surgery. This is mainly due to the cartilage serving as the framework not being sufficiently strong, or the structure collapsing as it is absorbed or bent. That is why, in nose surgery, how stably the framework is established is the most important factor. Using sturdy materials and building thicker layers to reinforce the structure helps it resist external stress more easily and maintain its shape for a long time.
Precautions After Nose Surgery
Even a nose that has been firmly built can still be affected by external impact. In particular, immediately after surgery, the cartilage and implant have not yet fully settled, so you should avoid pressing on the nose firmly or hitting it. If an impact is applied, the internal framework may bend or break, so it is best to be careful for a certain period after surgery.
Nose surgery is not simply an operation to make the nose higher; it is a precise process of reconstructing the nose while considering skin tension and cartilage structure. Factors such as the strength of the framework, the elasticity of the cartilage, and the thickness of the skin all affect how natural the result looks and how long it lasts. Therefore, if you are concerned about contracture after nose surgery, be sure to check not only the height or shape, but also how firmly the internal structure has been built. If you have any questions, it is necessary to consult and determine the method that suits your own nasal structure.
