When Is Improvement for a Contracted Nose Needed?

People often say that the eyes

determine a person’s impression,

but surprisingly, the nose also

attracts considerable attention.

Because the nose is located

in the very center of the face,

it plays a significant role

in forming one’s image.

Small differences in its height,

angle, and the width of the nostrils,

among other features,

can bring about major changes.

A low nasal bridge and a broad,

flat nose can give a somewhat

bland impression, so many people

have sought surgical solutions

to improve these features.

However, side effects such as

a contracted nose sometimes occur,

leading people to undergo

revision procedures.

To improve a low and broad nose,

procedures were performed that

involved inserting an implant

and gathering the cartilage

toward the center.

Even making changes in just one area

can significantly alter the overall

impression, which is why men

have also been paying increasing

attention to these procedures.

People sometimes make hasty decisions

after considering only the positive aspects,

but they must understand that

any solution may involve side effects.

As surgical solutions have become

more common than in the past,

the number of cases involving

unsuccessful outcomes has also increased.

Problems such as inflammation

or implant displacement can occur,

but the most commonly seen issue

was a contracted nose.

Just as people differ in personality

and appearance, the pattern of problems

also varied from person to person.

In some cases, the issue went beyond

simply being dissatisfied with the shape

and caused functional discomfort,

while in others, the implant

protruded through the skin.

If inflammation inside the nose caused

the tissue to harden and contract,

resulting in a contracted nose,

it was necessary to seek medical help

to address the problem.

This caused not only changes in texture

but also shortening of the nasal bridge,

which led to an upturned nose.

If the tip of the nose pointed upward

when viewed from the front,

or if the columella was abnormally high,

it was advisable to visit a medical institution

and seek a solution.

This appearance was very unnatural

and could lower self-esteem.

It was also considered unfavorable

from a facial physiognomy perspective,

so restoring the original appearance

as soon as possible was necessary.

To briefly explain the process

of addressing this problem,

it involved gently releasing

the hardened, clumped tissue

and removing the implant

that was causing the problem.

Immediately afterward, the nasal bridge

would become considerably lower,

which could greatly reduce satisfaction,

but the shape could be restored

by performing the procedure again

using the patient’s own tissue.

Then why does a contracted nose occur?

When improving the shape of the nose,

many people used artificial materials

or the patient’s own tissue.

Silicone has the advantage

of making it easy to create

a more defined shape,

but because it is an artificial material,

it had a relatively high possibility

of triggering an immune response

when inserted into the body.

The immune system in our bodies

has a tendency to attack and expel

foreign substances that enter the body

in order to protect it.

For this reason, a capsule formed

around the implant, and this capsule

continuously pulled on the muscles,

changing the shape of the nose.

Another reason a contracted nose occurs

was that blood vessels or lymphatic vessels

were damaged during the procedure,

causing impaired circulation.

As a result, bodily fluids and waste products

could not be discharged normally,

so swelling developed.

When this persisted for a long time,

it hardened and led to scar tissue contracture.

When this scar tissue formed severely

on the inside of the nose,

it pushed against the normal tissue

and applied strong pressure.

This caused the skin layers

to contract and harden.

There were several ways

to determine whether deformation

had occurred.

If vague, uncomfortable pain

was felt around the nose,

or if there was a sensation

of pulling or tightening,

these symptoms could indicate

the condition.

Other signs included a blunted nasal tip,

a pig-nose or upturned-nose appearance

when viewed from the front,

a markedly visible implant outline

that appeared to be trying to break

through the skin,

or a nose that did not move at all

even when considerable force was applied.

These could be regarded as signs

that contracture had occurred.

If inflammation caused an opening

to form and pus or discharge to flow,

it was necessary to visit a medical institution

immediately and receive appropriate care.

Inflammation did not merely damage

the appearance; it could also cause

otolaryngological conditions

such as a deviated septum,

so reconstruction was necessary.

The most important aspect

of undergoing a revision procedure

was to firmly reconstruct

the structure inside the nose.

Because long-standing inflammation

could weaken the tissue and cause

the cartilage to collapse,

it was necessary to handle

the soft tissue delicately

while creating a strong support structure.

To prevent the same situation

from occurring again,

reconstruction primarily used

the patient’s own tissue

rather than artificial materials.

Because the material was taken

from the patient’s own body,

it had a lower likelihood

of causing an inflammatory response

and also had the advantage

of producing a natural shape.

The autologous materials used

at this time included ear cartilage,

rib cartilage, and autologous dermis.

In these cases, the septal cartilage

was highly likely to have weakened,

so material was collected

from another area whenever possible.

Because each tissue type

had different characteristics,

the clinic collected them differently

according to their intended use.

Rib cartilage was used when firm

support for the nasal bridge was needed,

while autologous dermis was used

when a soft, natural texture

and appearance were desired.

Whether it was a first procedure

or a revision, if you decided

to undergo a surgical solution,

thorough prior research into

the medical institution and physician

needed to come first.

It was important to check whether

they carefully examined the condition

of the soft tissue, including through 3D CT,

whether they designed a customized plan

for each individual,

and whether they took responsibility

for post-procedure care.

It was also advisable to consider

whether the medical staff had handled

many previous cases of contracted noses

and had extensive experience and skill.

Nasal deformation could be prevented

from worsening by quickly recognizing

the early signs and responding to them.

If the nose repeatedly became red

and swollen, and you experienced heat,

pain, or a tightening sensation,

it was advisable to seek medical help

immediately.

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