Implant Revision Rhinoplasty in Korea

During revision surgery, existing implants are removed to reconstruct the nasal bridge and tip, and are replaced with a new implant or autologous tissue. Whether to use a new implant or reconstruct with autologous tissue is determined through consultation based on skin and tissue condition.

Generally, Gore-Tex is more difficult to remove than Silicone. Gore-Tex has the characteristic of surrounding tissue growing into it, which can cause the skin to thin during removal, requiring a more cautious approach. Silicone tends to be removed with relatively clear boundaries along with its capsule.

Implant removal or replacement may be considered if the implant is visible (visibility), becomes misaligned or warped (deformation), causes inflammation or foreign body sensation, a step-off is felt between the bridge and tip, or contracture occurs due to tissue shrinkage. Accurate assessment is made through 3D CT imaging and consultation.

Revision surgery on the tip alone may be possible. If there is an implant at the tip, it can be removed and the tip shape reshaped. The extent of surgery is determined based on CT imaging and examination findings depending on your condition. The approach may vary based on your individual nasal anatomy.

The type (Silicone/Gore-Tex), location, and condition of your existing implant can be identified through 3D CT imaging. Based on this, removal method and replacement material can be planned.

Yes, depending on skin and tissue condition, reconstruction using autologous tissue such as autologous costal cartilage, septal cartilage, ear cartilage, or dermis can be chosen instead of a new implant. Which method is most suitable is determined through consultation and examination.

When the skin covering an implant becomes thin, the outline of the implant may show through. After checking the cause and degree of skin thinning with 3D CT and an examination, we decide during the consultation on an approach such as removing the implant and covering the area with autologous tissue.

If the implant has shifted or bent and made the nasal line crooked, or if there is inflammation or recurring redness, your condition needs to be checked. Leaving it as is may allow changes in the surrounding tissue to progress, so we recommend having it diagnosed.

When an implant has been in place for a long time, the surrounding tissue may have become deformed, so we also assess whether additional correction is needed after removal. After checking the implant's position, the degree of adhesion, and skin thickness with 3D CT, we plan the scope of removal or replacement.

Threads placed in the nose are removed during the surgery. However, the exact location and amount of threads or filler can only be known by checking the inside of the nose with a CT scan, so we explain the scope of removal after diagnosis.

It is difficult to say that one is always better; it depends on the condition of your nose. Autologous tissue is considered when the skin has thinned or foreign-body reactions have recurred, and a custom silicone implant is considered when stable height is needed for the nasal bridge. The decision is made through 3D CT diagnosis and consultation.

Removing only the implant and leaving the nose in its natural state is an option, but if the tissue has been deformed, the shape may look different after removal. That is why we also assess during the consultation whether additional correction is needed after removal.

It depends on the type of the existing implant, the degree of adhesion, and the extent of reconstruction. Some cases, such as Gore-Tex removal, take longer, and the anesthesia method is also determined by the scope of surgery. We will explain the exact details after diagnosis.

It depends on the extent of removal or replacement, and you can return to daily life after suture removal. The degree of swelling and bruising and the time it takes for the final shape to settle vary from person to person, and we check them at regular follow-up visits.

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. After Gore-Tex removal in particular, we check the condition of the skin more carefully.

There are complications that can generally occur after surgery, such as bleeding, infection, inflammation, swelling, bruising, and asymmetry, and their degree varies from person to person. In particular, the skin may become thinner when Gore-Tex is removed, so more careful monitoring is needed.

It depends on the type of the existing implant, the degree of adhesion, the replacement material, and the extent of reconstruction. Once the plan is set through 3D CT diagnosis and consultation, our consultation manager will explain the details.