Implant-Free Rhinoplasty

Artificial implants (silicone, Gore-Tex, artificial dermis) can raise the nose relatively easily and are simple to design, but they may cause a foreign-body sensation and can shift position with external impact. Autologous tissue (ear cartilage, septal cartilage, costal cartilage, autologous dermis, and fascia) carries a lower risk of foreign-body reactions, feels soft and natural, and tends to last a long time, but it is relatively more difficult to shape, and the available amount may be limited depending on the individual.

Septal cartilage, ear cartilage, autologous costal cartilage, donated costal cartilage, autologous dermis, and autologous fascia are used. The optimal material is selected and used according to the patient's nasal condition and desired results.

Once engrafted, your own tissue is relatively resistant to external impact and is less likely to shift position than artificial implants. Its shape tends to remain stable over time, although the degree of engraftment and how long it lasts vary from person to person.

Suitable for those who desire a natural nose line, those who are averse to implants, those whose original nose bridge is not particularly low, those seeking revision surgery due to inflammation or contracture, and those who want a natural nose line when correcting a crooked or hooked nose.

Stitches are removed approximately 7 days after surgery, and daily life can be resumed around 7 days later. Outpatient treatment is required 2-3 times, and hospitalization is not necessary. The degree of swelling and bruising may vary depending on the individual.

Through 3D-CT, we can three-dimensionally analyze the size, shape, and degree of deviation of the nasal bone and septal cartilage, as well as the overall condition of the skin tissue and asymmetry. By precisely identifying even parts difficult to see with the naked eye, we can establish an optimal surgical plan tailored to each individual.

It is often possible if your nasal bridge is not low to begin with and you have enough usable autologous tissue. Conversely, with a bulbous nose in which the bridge is low and only the tip is large and blunt, autologous tissue alone may make the transition between the tip and bridge look unnatural, so using silicone for the bridge may be more suitable. Whether it is possible is judged after checking your bone structure and tissue condition with a 3D CT scan.

Implant-free rhinoplasty does not necessarily make the tip look pinched. If the skin at the tip is thin or soft tissue is lacking, or if cartilage is excessively gathered to build a support structure to raise the tip, the tip can look narrow and pointed, giving a pinched appearance. Rather than whether an implant is used, how the tip support structure is designed and how skin thickness and facial proportions are considered have a greater effect on the result.

When septal or ear cartilage alone is insufficient, autologous costal cartilage may be used, or donor costal cartilage, autologous dermis, and autologous fascia may be combined. Which materials to use and how much is decided after confirming the required support and the amount of usable tissue with a 3D CT scan.

Revision surgery due to inflammation or contracture is among the cases suited to implant-free rhinoplasty. We remove the existing implant, clear the capsule and scar tissue, and then rebuild the support structure with autologous tissue. However, the method and results can vary with the tissue condition, so diagnosis comes first.

Once engrafted, your own tissue tends to keep its shape stably, but the degree of engraftment and how long it lasts depend on tissue condition and individual healing. No surgery eliminates the possibility of change over time, so we check through regular follow-up visits.

Artificial implants can shift position with external impact and may cause a foreign-body sensation, whereas autologous tissue tends to feel soft once it has engrafted, making it better suited to creating a feel close to your own tissue. However, how it feels varies from person to person.

When correcting a dorsal hump or crooked nose, autologous tissue may be considered for those who want a natural nasal line. However, the choice of material depends on how the necessary height will be secured after the protruding bone and cartilage are refined, so the decision is made after checking the condition of the nasal bone and cartilage with 3D CT.

After analyzing the current state of the nose with 3D CT, we dissect the nasal bone and cartilage to create the surgical space, then shape the nose using autologous tissue through septal extension, tip cartilage suturing, ear cartilage grafting, and similar techniques. Which steps are performed, and to what extent, depends on the condition of the nose.

Regular follow-up takes place at 1 day, 5 days, 2 weeks, 1 month, 3 months, and 6 months after surgery, and in between you can ask about your progress via WhatsApp. Recovery speed and results vary from person to person, and swelling, bruising, and reduced sensation may occur, so follow-up is necessary.

There are complications that can generally occur after surgery, such as bleeding, infection, and inflammation, and their degree varies from person to person. Using your own tissue does not eliminate the possibility of side effects, and if there is a harvest site, scarring and pain there may also vary from person to person.

The cost depends on the type of autologous tissue used, the extent of harvesting, the scope of surgery, and whether it is a revision. Once the surgical plan is set through 3D CT diagnosis and consultation, our consultation manager will explain the cost.