#ABPlasticSurgery #ABTV #CaseReview #NoseSurgery #RevisionNoseSurgery

Hello, this is AB Plastic Surgery.

Today, together with AB Plastic Surgery,

we will look at photos of a patient who underwent revision nose surgery at AB Plastic Surgery and review the case.

First, here are the preoperative photos.

The patient had nose surgery four years ago, and came in hoping to improve the fact that the tip had dropped a lot and looked flatter compared to then. From the front, the patient’s nasal tip overall also looks a little blunt, and the silicone seems to have rotated slightly to the right.

Let’s also take a look at the patient’s side profile. When viewed from the side, the bridge line seems to descend at an appropriate line compared to the forehead, but the nasal tip looks very low in comparison. As a result, the face can feel too straight and somewhat abruptly dropped, and the mouth also tends to look a bit protruded. When viewed from the side, the bridge line seems to descend at an appropriate line compared to the forehead, but the nasal tip looks very low in comparison. As a result, the face can feel too straight and somewhat abruptly dropped, and the mouth also tends to look a bit protruded.

Overall, the face lacks a bit of dimensionality, and there is a slightly avatar-like feeling. To improve this, we made only a modest enhancement to the bridge, while raising the nasal tip significantly to add more dimension to the face.

Because the patient was very worried about the tip dropping after surgery, we used autologous rib cartilage and performed the surgery with a firm support structure so that the nasal tip would not droop further.

One reason autologous rib cartilage is used more often these days is to avoid a second or third revision surgery, so cartilage from the patient’s own rib is frequently used. When performing revision nose surgery like this, it is important to understand the patient’s current nasal condition as accurately as possible, and based on that, setting the materials and the height of the nasal tip seems to be the most important part.

These are photos taken two months after surgery. You can see that the overall facial lines appear much clearer, and especially the nasal tip has become much slimmer than before.

If we also check the side profile, even though we raised the bridge by about 6–7 mm, it does not feel noticeably unnatural. In contrast, because the nasal tip has been significantly improved, the overall side profile has much more dimension, and you can see that the mouth has come in slightly. Even at a 45-degree angle, you can see that the overall facial lines are much more defined and the result gives a more refined impression.

People often worry a lot about swelling and bruising after surgery. In general, for those whose swelling goes down very well, there are even cases where it is hardly noticeable after just one week, and usually the major swelling has mostly gone down after about two weeks.

So in most cases, after about two weeks, there should be no major issues with daily life, and scars actually become less visible over time. However, what we call a scar usually becomes a little darker and more noticeable up to about three months. So during this process, it may feel like the scar stands out a bit more. After that, you can see it gradually improve. And the pain is not severe; the two days while the packing is in place are the hardest, and most patients do not find the pain very uncomfortable, so there is no need to worry too much.

Many people also worry about pain related to autologous rib cartilage. Usually, it does not cause much discomfort in daily life, but when getting up after lying down, or conversely when sitting down after being up, people may often feel a sense of stiffness for about 2–3 weeks, so there is no need to worry.

Today, we explained a real revision nose surgery case from AB Plastic Surgery by looking at an actual patient. If you have any further questions, please contact the clinic :)