Non-Implant Nose Surgery — Not Recommended for the Nasal Bridge? - Summary by Director Lee Kyung-mook

Non-implant nose surgery — Not recommended for the nasal bridge?

• Summary by Director Lee Kyung-mook

Hello.

This is Objet Plastic Surgery.

When looking into nose surgery,

it is natural to think,

"I want it done naturally

without an implant."

Many people feel that the mere idea of

an artificial material being placed in their body

is somehow unfamiliar

and burdensome,

and they worry whether problems might arise later,

so their attention naturally turns first to

non-implant nose surgery.

That feeling is completely understandable.

However, although many people think

non-implant nose surgery is a safer

and more natural method,

in reality, it is difficult to say

that is always the case.

Especially when the goal is to raise the nasal bridge,

the materials used in non-implant procedures

have structural limitations,

so it is important to understand this first

before making a choice.

Today, I will explain one by one

why the materials used for the nasal bridge

have limitations,

and why material selection differs

depending on the area.

If you read to the end,

you will gain a practical 기준 for

setting the direction of your nose surgery.

Non-implant nose surgery,

don’t use it for the nasal bridge!

One of the materials commonly used

to raise the nasal bridge in non-implant

nose surgery is autologous dermis.

This involves harvesting some skin tissue

from the buttock area

and inserting it into the nasal bridge.

This method has two major difficulties.

The first problem with autologous dermis

is that it is difficult to predict

how much will be absorbed.

For example,

if the goal is to raise the nasal bridge by 3 mm,

it is not easy to calculate exactly

how much needs to be placed initially

for 3 mm to remain in the final result.

That is because the absorption rate

differs from person to person.

In some cases, more may be absorbed

than expected,

and in others, less may be absorbed,

leading to different outcomes.

This is why even if the desired height

is designed at the beginning,

it is difficult to say the final result

will remain exactly the same.

The second problem is that,

over time, the material can spread sideways.

autologous dermis is basically a soft tissue,

so even after being inserted into the nasal bridge,

it is difficult to keep its shape fixed.

Methods such as triple suturing are used

to prevent this,

but over time the nasal bridge line

can become blunt.

It is not easy to prevent both absorption

and spreading at the same time.

In addition to autologous dermis,

another material commonly used for the nasal bridge

is autologous costal cartilage.

This is cartilage tissue harvested from the rib area,

and it is one of the options selected

to secure nasal bridge height.

This method also has two problems.

The first is a phenomenon called warping.

In simple terms, it means the cartilage bends

over time in an unexpected direction.

Because costal cartilage is structurally

under tension within the tissue,

even if it is straightened and used during surgery,

that tension can release over time,

causing it to bend little by little.

At this point, it may not just bend slightly;

one side of the nasal bridge can protrude,

or it can change into a shape that rises

like a unicorn horn.

The problem is that if such a deformity occurs,

it is difficult to correct by pressing from the outside,

and additional surgery for correction

may ultimately be needed.

The second issue is how to handle inflammation

if it occurs.

autologous costal cartilage is tissue taken directly

from your own body, so the harvesting process itself

places physical strain on the body.

On top of that,

if inflammation develops after surgery,

there can be situations where the tissue can no longer

be used again.

Because it is your own tissue,

this situation can become more burdensome than

just the loss of a material.

Silicone,

there is a reason it keeps being used

After reading this far,

you may be thinking,

"Then isn’t every implant a problem?"

In fact, silicone

has a history of nearly 100 years.

Over that long period,

countless materials have appeared and disappeared,

but silicone has continued to be trusted

in three aspects.

Stability, shape retention, predictability.

Especially in areas like the nasal bridge,

where height and line must be matched precisely,

all three are important.

Silicone does not get absorbed or spread,

and it can maintain the shape designed at the start,

making the desired result much easier to predict.

Why the material choice differs

between the nasal tip and the nasal bridge

One of the important principles in nose surgery

is choosing materials differently

depending on the area.

The nasal tip and the nasal bridge are both part

of the nose, but their characteristics differ.

The nasal tip moves a lot

and has thin skin,

so autologous tissue is a better fit than

an artificial implant.

That is why flexible tissues such as

septal cartilage, ear cartilage, and donated costal cartilage

are used.

Donated costal cartilage is a material made by

medically and safely processing another person's rib cartilage

so that it can be used in surgery.

Because there is no need to remove cartilage

directly from your own body,

it is sometimes used as an alternative

to reduce the burden of harvesting autologous costal cartilage.

On the other hand, the nasal bridge is an area where

shape retention, height adjustment,

and line precision are important,

so materials with predictable behavior,

such as silicone or donated dermis,

are often used.

Donated dermis is a material made by processing

another person's skin tissue,

and its absorption rate is relatively easier to predict

than that of autologous dermis.

This is exactly why it is difficult to say

that non-implant nose surgery is

"always more natural."

The material's characteristics and the area's

characteristics must match in order to achieve

the desired result.

Today, I explained why non-implant materials

are not recommended for the nasal bridge

in nose surgery.

Non-implant nose surgery can certainly be a good choice

for areas like the nasal tip,

where autologous tissue is suitable.

But if the goal is to raise the nasal bridge,

it is more important to first understand

the characteristics of each material

and choose the method that fits the area.

Director Lee Kyung-mook of Objet Plastic Surgery

carefully determines which material characteristics

are needed for each part of the nose

and selects materials accordingly.

In particular, he places importance on creating

a completed result in one go during the first nose surgery.

If you have not yet decided on the direction

of your nose surgery,

we recommend confirming the method that fits your nose

through a consultation.

This has been Objet Plastic Surgery.

Thank you.

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• This post is medical information written by Objet Plastic Surgery Clinic in compliance with the Medical Advertising Act.

• Treatment results may vary depending on the individual, and side effects may occur.

We recommend that you fully consult with medical staff in advance before deciding on a procedure.