Hello, I am Dr. Chayoung Kang.
Today we will talk about a rhinoplasty to remove a foreign substance. This patient previously undergone a nostril reduction surgery and had calcium filler injections on the nose bridge and nose tip.
Preoperative Design Consultation
- The nose looks overall small and short.
- The glabella looked unnaturally wide due to the filler.
- The nose bridge looked bent to the right side.
- The nostrils were on the more visible side.
- The nostril asymmetry caused by the nostril reduction surgery was noticeable.
- Visible protruding mouth.
- The flat nose tip and bridge gave her an overall plain apperance.
- The bent nose bridge becomes more pronounced when seen from the oblique angle.
- The nose tip looks definitely flat.
- Distinct nostril asymmetry.
- The nose tip looks upturned.
Surgical findings
a) Filler removal: We discovered more filler than we had previously expected. All the filler from the upper part to the part right below the forehead was removed.
b) Nasal tip reconstruction: The septum was thin and weak, so we reinforced it by using the self-rib cartilage. We heightened the nose tip in a sophisticated manner.
c) Nasal bridge reconstruction: After removing the implant, the nose bridge was excessively flat, so it was heightened using a silicone implant.
d) Reinforcement of the alar cartilage: Weak and thin alar cartilage on both sides was reinforced using the self-rib cartilage.
e) Nasolabial angle correction: The correction of the nasolabial angle gave an improved effect to the protruding mouth.
All procedures were performed through closed rhinoplasty (Noselab’s inner-open rhinoplasty).
Before and After Surgery Photos
- The glabella was corrected to look more natural.
- Correction of the bent nose bridge.
- The nostril asymmetry improved, but it is not possible to achieve perfect symmetry due to the previous nostril reduction surgery.
- Overall, the face looks more balanced.
- The nose tip as properly elevated, improving the plain appearance.
- The harmony between the nose tip and nose bridge enhanced the three-dimensional effect.
- As the protruding mouth appearance improved, the facial balance also was enhanced.
- After the deviation was corrected, the nose line could be observed to be smooth.
- The nose tip height and protruding mouth was naturally improved.
- The upturned nose tip was improved.
- The nostril asymmetry was visibly improved, however, due to the limitations caused by the previous surgery there still remains some difference in both sides.
After surgery table photos
Overview
This case was a foreign substance removal and complex nasal reconstruction. In principle, it is good to completely remove all the foreign subtances used in the nose. Especially, non-dissolving fillers, semi-permanent filler and calcium fillers must be completely removed. This is important to prevent future inflammation. Because there is a risk of damage to tissue, such as blood vessels or nerves, during the foreign body removal process, it is essential that the procedure is performed by a skilled professional. In particular, blood vessel damage can lead to serious complications, such as skin necrosis.
Noselab’s inner-open rhinoplasty is the optimal surgical method to minimize these risks. Because it preserves the columellar artery, it avoids partial necrosis even with partial damage to the nose bridge veins.
Moreover, it is most important to use a strong and high-quality rib cartilage in order to make a small and short beautiful, and it is recommended to use self-rib cartilage.
I hope that this blog is of help for anyone who is considering undergoing a complicated revision rhinoplasty.
Noselab Rhinoplasty Clinic
Dr. Chayoung Kang
