Correction of Upturned Nose and Contracted Nose, Revision Rhinoplasty Using Autologous Tissue (feat. Ear Cartilage)

Inflammation after rhinoplasty is not uncommon, and in some cases it can lead to nasal contracture. When that happens, the tip becomes lifted, resulting in an upturned nose or a short, upturned nose.

#If contracture occurs in a nose that had silicone placed in the bridge and then underwent surgery

As the inflamed tissue heals, the tissue shrinks, which shortens the length of the nasal bridge and makes the tip appear to lift gradually.

The best way to prevent a contracted nose is:

Remove the silicone as soon as inflammation is found!

However, even though both doctors and patients know this simple fact, there are quite a few cases where a contracted nose is left untreated and time passes... ㅠ

Because they are busy..

Because they are abroad..

Because they are worried the nasal bridge might become lower.. and so on.

Even when it is clear that the nasal tip is gradually lifting, they cannot even remove the silicone, and then after 1–2 years have passed

when the tip has risen sky-high, surgery is finally performed. It is unfortunate..

Something that would have been simple if the silicone had been removed earlier... If surgery is done only after full contracture has developed, then

1. release the contracted tissue
2. prevent the released tissue from contracting again and lifting the tip by extending the alar cartilage with autologous cartilage... #derotation graft

Because these relatively complex procedures are required, and the cost is also not small, if inflammation is suspected,

#SiliconeNoseImplantRemoval should be considered first!

This patient also had a silicone implant in the nasal bridge and, after a long time, developed chronic inflammation in the nose, causing the nasal tip to gradually lift.

It was obvious at a glance that #shortnose was progressing.

In fact, the patient had known a year earlier that the tip contracture was developing, but because they got a job at a large company, they were b, u, s, y

and the timing of silicone removal was delayed.

One thing worth noting, however, is this patient’s skin condition.

Skin with enlarged pores, oily skin, and plenty of sebum is weak against inflammation, so inflammation tends to occur easily in the skin or subcutaneous tissue. If a person with this skin type has a silicone implant placed in the nasal bridge, it should be carefully checked whether inflammation has developed.

Oily skin with enlarged pores

Skin vulnerable to inflammation, with inflammation developing easily and progressing to chronic inflammation!

For this patient, the nasal tip length was extended using only autologous ear cartilage, without using rib cartilage at all.

After extending the alar cartilage using ear cartilage, the lifted nasal tip was corrected well in the side view as well.

By removing the existing silicone and the chronic inflammatory tissue that had surrounded it at the same time, the nasal tip height appears slightly lower from below, but instead the pinched-looking tip improved!

The chronic inflammatory tissue that had surrounded the silicone bridge implant and the removed silicone implant

Although the lifted nasal tip stands out more when looking at the entire face, even when cropping out only the nose, the upturned tip was corrected well.

I measured the angle in the side view, and the nasolabial angle, which had clearly been lifted to more than 90 degrees, came down to less than 90 degrees,

so it can be seen that the lifted #shortnasaltip was objectively corrected to a longer shape.

For contracted nose correction caused by nasal inflammation, autologous tissue such as ear cartilage is good, and for congenital short nose that is not related to inflammation,

nose lengthening can produce good results using autologous rib cartilage or #allogenicribcartilage.

A clinic that is good at both eye revision surgery and nose revision surgery

Lari Plastic Surgery!

Lari Plastic Surgery is close to Exit 5 of Apgujeong Rodeo Station on the Bundang Line.

If you would like a consultation, make a reservation by phone and visit, and you can receive a direct consultation from a board-certified plastic surgeon!