Revision
Rhinoplasty

When a foreign implant such as silicone is placed in the nasal tip, the skin gets thinner, so the side effect results. Ear cartilage also could result in side effects when placed in the nasal tip. Therefore, the structural cartilage, which establishes the structure of the nasal tip, could provide a natural result. Such conceptualized premium rhinoplasty is called the autologous tissue rhinoplasty.

The silicone inserted into the end of the nasal tip irritates the skin resulting in redness and the skin presses the silicone whereby the silicone shows. Therefore, the nasal tip must be constructed by the autologous cartilage, so as to minimize the problems and to appear natural.

When the inserted silicone is bent inside the nose, it is because the septal cartilage inside the nose was originally deviated and could not support the structure of the nose. If the silicone is inserted without the revision of bent structure, asymmetry will occur based on the bent shape. Therefore, it is important to identify whether a septal deviation exists when planning for nose surgery. If the nasal septum deviates, it is necessary to first revise the bent nasal septum to set up a stable nose structure and then augment the nose. The septal deviation rhinoplasty is highly recommended for these cases.

The silicone inserted to the nose tip shows the deformity; the skin gets thinner as time passes by. As the nasal tip is established by the silicone, the skin gets flushed. The newly conceptualized autologous tissue plastic surgery prevents such obvious appearance and creates a natural looking nose.

Using the AlloDerm without a structural change of the nose despite its wideness may result in a stubby nose without a two-pointed peak. Therefore, to make a beautiful nose tip, the skin must be thin and the shape of the structural cartilage must be small and protrusive. Thus, a structural nose surgery using autologous tissues is necessary.

When the contraction occurs due to the implant, the nose becomes severely turned up and the nostrils are more visible. In serious cases, it is necessary to first ensure the length and the structure, and then the height using an autologous tissue.

Generally, the droopy nose cannot be improved by inserting silicone on the bridge and the tip, because the cartilage that supports the nose tip is weak and already tilted to the front. It is necessary to support the front of the nose tip with autologous tissue to elevate the droopy tip.

The septal cartilage centered inside the nose plays an important role in making the nostrils symmetrical. In the case of nasal septal deviation or bent septum due to a trauma, it is necessary to improve the nasal septal deviation prior to the nose augmentation procedure.

Many Asians have a dented alar base, narrow nasolabial angle, and mouth protrusion. For such people, just augmenting the nose bridge without the improvement of a depressed area and the nasolabial angle makes the nose appear unnatural. Thus, leading to frequent revision surgeries. It is necessary to support a strong structure and then widen the nasolabial angle with VIP’s mid-face augmentation. With these surgeries combined (Harmony Rhinoplasty), the mouth appears to be retruded and the chin looks smaller resulting in a natural and balanced image.

Columella is the part that supports in between the nostrils. If the septal cartilage is short, the columella looks retruded. Therefore, it is necessary to graft the cartilage in between the nasolabial angle to bring out the retruded columella.

The ideal angle from the columella to the nasal tip is not 90°, but 30°- 45°. This can occur when the silicone or the cartilage is placed forward in a short nose.

When there is an infection on the implant such as silicone or Gore-Tex, contraction can occur and the nose will deform. The shorter the nose is, the more serious the deformation is. In this case, the autologous tissue is used to rebuild the nose structure.

When silicone is injected into the face including the nose, in long term, the skin gets flushed, the tumor grows abnormally, and skin necrosis can occur if serious. Removing illegal injection is the most difficult matter to treat. In this case, the treatment removes the leftover injection and tumor; then uses an autologous tissue to make the structure of the nose with augmentation.