[Medical Tribune] For Revision Surgery on a Contracted Nose, Tissue Evaluation Comes Before Implant Replacement

Revision rhinoplasty is considered a highly complex procedure that requires consideration of a patient’s previous surgical history and tissue condition. In particular, when contracture has occurred, it is important to comprehensively evaluate the tissue condition, cartilage structure, and skin condition before developing a surgical plan, rather than simply replacing the implant.

Contracture refers to a condition in which the fibrous capsule formed around an implant contracts or thickens, changing the shape of the nose and affecting the surrounding tissue. Related studies have also reported that a fibrous capsule may form around an implant inserted into the body, and that in some cases, changes in the nasal membrane may affect the shape and tissue condition of the nose. However, the degree of contracture and tissue changes varies from person to person, making sufficient diagnosis and evaluation necessary before surgery.

Medical professionals explain that, when performing revision surgery on a contracted nose, the surgical method should be determined after examining not only the condition of the existing implant but also the cartilage structure, skin thickness, scar tissue, and presence of inflammation. This is because the surgical techniques and implants that can be used may differ depending on the patient’s anatomical characteristics and the method used in the previous surgery.

Kim Ju-yeon, director of AB Plastic Surgery, said, "For revision surgery on a contracted nose, it is important to develop a surgical plan after carefully analyzing the patient’s tissue condition and anatomical structure rather than focusing solely on the implant itself. Since the cause of contracture and tissue condition differ for each patient, a surgical strategy tailored to the individual’s characteristics should be established."

She added, "Nasal implants vary in material, shape, and surface structure, and each has different characteristics. Rather than relying on a specific implant, it is advisable to select an appropriate material by comprehensively considering the patient’s condition and the purpose of the surgery."