Nose Surgery Without Implants: The Shashaco Principle Using Autologous Cartilage and Real Cases

Hello, this is VN Plastic Surgery.

The first obstacle many people encounter when considering nose surgery is

"implants."

The thought of having artificial materials such as

silicone or Gore-Tex placed inside the body

can feel unsettling, and the more you look into

examples of complications, the harder it becomes

to make a decision.

At the same time, fillers can be difficult to consider because

their effects do not last as long and

their shape may change over time.

For those looking for an option that is neither an implant nor a filler,

VN Plastic Surgery’s “Shashaco” may be an answer.

[ What kind of surgery is Shashaco? ]

Shashaco is a closed rhinoplasty procedure using autologous cartilage

performed at VN Plastic Surgery.

It uses no artificial implants at all.

Cartilage harvested from the ear is finely minced,

mixed with the patient’s own blood,

and injected into the inside of the nose.

Closed rhinoplasty is a technique that accesses the nose

only through the inside of the nostrils

without making an incision in the columella.

As a result, no scars remain on the outside of the nose after surgery.

Because 100% of the material used

comes from the patient’s own body,

there is no foreign-body sensation,

and the finished shape of the nose looks natural.

[ How is it different from fillers? ]

Nose fillers and Shashaco may look similar

in that both add volume to the nose

through an injectable treatment,

but they differ greatly in terms of results and safety.

Fillers produce an immediate effect,

but their duration is short,

and their shape may change over time.

There is also a risk of complications such as

necrosis if a blood vessel is affected,

and because fillers are foreign substances,

it can be difficult to predict how the body will react.

In contrast, the autologous cartilage particles used in Shashaco

come from the patient’s own body.

Complications such as inflammation or necrosis are rare,

and foreign-body reactions are less likely.

It can create sufficient volume

while maintaining a natural shape over time.

[ CASE 01: Improving a Drooping Nasal Tip and a Dorsal Hump ]

This case involved a hump on the bridge of the nose

and a nasal tip that drooped downward,

making the overall impression look heavy.

Cartilage particles were grafted onto the bridge and tip of the nose

to create natural volume and height.

Compared with before surgery,

the line from the bridge to the tip became smoother.

Because the procedure was performed as closed rhinoplasty,

the patient was able to return to daily life quickly

without worrying about scars.

[ CASE 02: Improving a Short Nose and a Bulbous Tip ]

This case involved a desire to improve

a short nose with a blunt, bulbous tip.

To correct the short nose,

a septal extension was performed first

to establish the length and direction of the nose.

Then, cartilage particles were grafted onto the nasal dorsum and bridge

to improve both height and contour.

[ CASE 03: Comprehensive Correction of a Dorsal Hump, Irregular Contour, and Drooping Tip ]

This case involved multiple concerns:

a pronounced hump in the middle of the nasal bridge,

an uneven dorsal contour,

and a drooping nasal tip.

As in Case 2,

the position of the nasal tip was corrected first

through septal extension.

Then, cartilage particles were used

to fill in the uneven areas

and create a smoother contour.

This case is notable in that

this level of change was possible

using only the patient’s own cartilage,

without implants.

Shashaco may be a suitable procedure for people

who are uncomfortable with implants

or concerned about filler complications

and are looking for an alternative.

Because it is a closed rhinoplasty procedure,

the downtime is short,

so it may also be considered by busy office workers

or students who need to make use of a short school break or vacation.

It may be worth considering especially for those

who want a natural result without visible signs of surgery

and wish to address multiple concerns about

height, contour, and shape in a natural way.

All nose surgeries at VN Plastic Surgery

are personally performed by Director Oh Seung-il.

The internal structure of the nose is carefully analyzed

through a preoperative CT scan.

Surgery is planned with a customized design

that takes into account both the nose shape the patient wants

and the actual internal condition of the nose.

This makes it possible to achieve

more natural results that last longer.

If you are curious about Shashaco

and feel that it may be suitable for you,

we recommend first receiving a detailed consultation

at VN Plastic Surgery.

Thank you.