Nose Reconstruction Revision in Korea

Different areas of the nose require different properties. The dorsum needs stable height and smooth line maintenance, making custom Silicone fitted to your bone structure appropriate, while the nose tip requires natural shape and soft support, making autologous cartilage suitable. This approach combines materials appropriate for each area to balance support and natural appearance.

Custom Silicone is not an off-the-shelf implant but rather Silicone fabricated and contoured to fit your individual bone structure. When fit snugly to the dorsum, it can help reduce complications from implant movement. However, the results and appropriate materials may vary based on your nasal condition, so we determine this through consultation and 3D CT diagnosis.

Implant-Free Rhinoplasty reconstructs both the dorsum and nose tip using autologous tissue. However, in cases like Bulbous nose where the dorsum is low and only the tip is enlarged, using Silicone for the dorsum may be more appropriate since autologous tissue alone may not achieve the desired dorsal height. The suitable approach depends on your nasal bone structure and skin condition, so we decide after precision diagnosis.

The nose tip has thin skin and is highly mobile, making reconstruction with autologous cartilage often more advantageous than silicone for natural definition and support. Therefore, in this approach, the nose tip is reconstructed with autologous cartilage (costal cartilage, septal cartilage, or ear cartilage). The appropriate material for your individual nasal condition will be recommended through consultation.

Depending on the required support and tissue volume for reconstruction, we select or combine costal cartilage (chest rib cartilage), septal cartilage (central nasal cartilage), or ear cartilage. The choice of which autologous cartilage to use is determined after analyzing the required support for nose tip reconstruction and your individual tissue condition via 3D CT.

Sutures are removed 7 days post-surgery, after which you can return to daily activities. Swelling will gradually subside over time, and final results will settle over several months following surgery. Recovery speed and progress may vary from person to person, and post-operative progress will be monitored through regular aftercare.

Sutures are removed 7 days post-surgery, after which you can return to daily activities. Swelling will gradually subside over time, and final results will settle over several months following surgery. Recovery speed and progress may vary from person to person, and post-operative progress will be monitored through regular aftercare.

We fully understand your concern. Using silicone custom-made to fit your bone structure can help reduce side effects caused by implant movement. However, there is also the option of reconstructing the bridge with autologous tissue, so we decide together which approach is right after checking your bone structure and skin condition.

When the bridge is low and only the tip is blunt and large, it is difficult to raise the bridge to the desired height with your own tissue alone, and the connection between the tip and the bridge may look unnatural. In such cases, using silicone for the bridge may be more suitable. An accurate judgment is made after checking the bone structure with 3D CT.

Cases where both the bridge and the tip must be reconstructed due to problems with an existing implant are also included. After checking the existing implant and adhesions with 3D CT, we plan which material to use for the bridge and for the tip. The method may vary depending on the condition of the tissue.

Using 3D CT, we analyze the nasal bone, septal cartilage, skin condition, and problems with the existing implant to decide on materials and their combination. We then reconstruct the bridge with a custom silicone implant and harvest autologous cartilage to build the tip support structure. The extent of each step depends on the condition of the nose.

Because the continuity of the line from the bridge to the tip is important, we design it so the length and height of the tip connect naturally. In particular, when the tip has been lengthened considerably, it can drop and create a step, so we take this into account at the design stage. Results vary from person to person.

When costal cartilage is harvested, an incision is needed below the chest, and a scar may form in that area. When ear cartilage or septal cartilage is used, the harvest site is different. The degree of scarring and the course of recovery vary by individual.

Because both the bridge and tip are reconstructed and harvesting autologous cartilage is included, it tends to take longer. The anesthesia method is decided based on the scope of surgery and the expected time, and suitability is confirmed with pre-anesthesia tests.

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. Dr. Daehee Han personally handles everything from consultation to surgery and follow-up.

The nasal tip is constantly pulled when you smile or open your mouth, so it can change over time. That is why we position the tip at the design stage with skin movement in mind. The degree of change varies from person to person, and we check it at regular follow-up visits.

There are complications that can generally occur after surgery, such as bleeding, infection, inflammation, implant-related problems, and asymmetry, and their degree varies from person to person. Pain and scarring at the autologous cartilage harvest site may also vary from person to person, so please decide after a thorough consultation.

It depends on the custom silicone fabrication, the extent of autologous cartilage harvesting, the extent of reconstruction, and whether it is a revision. Once the plan is set through 3D CT diagnosis and consultation, our consultation manager will explain the details.