1. Pre-surgery design
This patient visited the clinic to correct excessively visible nostrils from the front and the appearance of a short nose tip. The surgery at our hospital was this patient’s 5th revision rhinoplasty, and they had a history of reoperation due to inflammation caused by side effects of the silicone used in the third surgery.
2. Surgery plan
A minor contracture strain was suspected. After determining the degree of cartilage damaged during surgery, cartilage reconstruction was planned by using autologous rib cartilage, and the Gore-Tex implant was to be removed from the nose bridge and replaced by silicone prosthesis.
3. After-Surgery Photos
Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above)
Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above)
Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)
Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)
4. General review
This was the case of a slight contracture deformation that caused the nose tip to shrink and lift, and nostril asymmetry due to side effects of silicone induced inflammation at another hospital. A Gore-Tex prosthesis had been inserted in the nose bridge, and the alar and septal cartilage had been damaged by around 30%, so cartilage reconstruction surgery was performed using the patient’s own rib cartilage.
In most cases of deformation by contracture due to inflammation, nasal cartilage damage is very common, and the more sever the contracture deformation, the more sever the cartilage damage. Therefore, the damaged cartilage reconstruction is the most fundamental part of rhinoplasty for nasal contracture. Until after 6 months post operation, there is no significant difference with or without cartilage reconstruction, but after 1 year or more, deformation will occur if the cartilage is not rebuilt.
Director Kang Cha-Young of Nose Lab
