Hello. I’m Kim Hyung-taek, the representative director of Kowon Plastic Surgery Clinic, a clinic specializing in noses.

Today, I’d like to address a question from someone who underwent rib cartilage revision surgery after the septum collapsed, and is wondering whether the nasal bridge must be lowered during revision surgery.

Q. Rib Cartilage Revision Surgery: Is lowering the bridge necessary?

I had rhinoplasty three months ago.

Silicone was inserted into the nasal bridge, and septal cartilage and ear cartilage were used in the tip.

However, the septum has now collapsed, so I decided to have revision surgery and am currently waiting.

I think it may have happened because too much septal cartilage was harvested.

This surgery is planned as an autologous rib cartilage revision surgery.

But if this surgery also goes wrong, what materials can be used for surgery then? I’ve already used septal cartilage, ear cartilage, and autologous rib cartilage revision surgery, haven’t I? Can rib cartilage revision surgery be done a second time?

Also, I currently have 4 mm of silicone inserted. The doctor says that for this rib cartilage revision surgery, we should lower the bridge. He also said that the tip needs to be lowered overall for the septum to stop collapsing.. From my perspective, that makes the surgery feel meaningless. I prefer a high nose, even if it looks obviously operated on, but I was told that if we don’t lower it and keep the height the same, the septum could collapse again.

Just in case, I went to another hospital for a consultation, and they said that during rib cartilage revision surgery, they could maintain the current state and make it to the height I want. So why is my original hospital saying that it can’t be done? As far as I know, rib cartilage is a strong material, so would raising it a little cause the septum to collapse?

Septum # Rib Cartilage Revision Surgery # Rhinoplasty # Revision Rhinoplasty # Silicone # Kowon Plastic Surgery Clinic

Even if you need revision surgery again in the future, there are other methods such as using another piece of rib cartilage or donor rib cartilage, so please don’t worry in advance, and I hope this rib cartilage revision surgery goes well.

In the case of rib cartilage, there are multiple pieces on both sides of the body, so it can be harvested several times.

Whether the height can be increased further with rib cartilage, or whether it should be lowered from the current level, is difficult to say without seeing your nasal condition and septal condition directly.

Since this is a revision surgery, it seems you will need to approach it even more carefully. Rib cartilage is indeed a very strong material, but if the septum is bent or weak, the nose can also appear crooked, so in such cases it may be difficult to increase the height much out of caution.

I hope you get a good result.

Source: https://kin.naver.com/qna/detail.nhn?d1id=7&dirId=70110&docId=225901790&page=1#answer1

https://blog.naver.com/kowon_note/223330250577