ID Hospital Korea: nose revision

Monday, April 18, 2016

[ID Hospital] More cautions required on nose revision for awkwardly sharp nose

ID Hospital News Article

More cautions required on
nose revision for awkwardly sharp nose

Everyone expects to be naturally beautiful when after having plastic surgery, who decided to improve their insecurities. However, it is inevitable having re-operation because of awkward looking, like yesterday was operation date even after pretty long time has already passed.

Especially, nose is one of the most frequently re-operation done parts. So it is highly possible to have overly high nose that is not go with the face or unsatisfied result like slanted, disformated nose which caused by dislocated prothese and capsular contracture.

Su jin Han,(Model, 24) who got rhinoplasty because of changing flat and blunt nose into high and sharp one. And also got nose revision to modify awkward nose as if the chalk was inside and to get ideal nose that makes balance with the face by removing overly high implant, then inserting natural implant goes with the nose shape.

Dr. Il Hwan Kim(plastic surgery specialist), ID Hospital said, "Having rhinoplasty without considering the balance in a beauty and functioning part, nose revision necessarily needed because nose shape could be awkward or malfunctioning." "Precisely figure out the cause of failure of the first rhinoplasty and scheming harmonious operation suits for the face may help to prevent second surgery."

If someone unavoidably needs revision after the first surgery, be sure to perform in 6 months so that general tissue get soften. Avoiding side effect like nose is bent out of shape acquired by disformation of implant, if you make implant in a natural way with face and fix accurately.

In addition, there could be "capsular contracture" which causes inflammation or hematoma and tip of the nose is pulled up with silicon in conjunction with healed and stiffed tissue. For resolution, nose revision is done by replacing inside implant and lengthen the tip of the nose using cartilage of nasal septum.

Dr. Il Hwan Kim said, "Nose revision should be done after enough consultation with specialists in plastic surgery, ENT department, and desirable when choosing the hospital sized medical institution where opreration is done directed by experienced plastic surgery specialist to make natural line of nose after removing previous, wrong implant inside rather than pursuing low surgery cost."

Original Article: Hankyung.com W Star News Life on 3/31/2016

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Friday, March 27, 2015

[ID hospital] What is nose revision?

What is nose revision?

Nose revision refers to a case in which a patient already underwent rhinoplasty, but could not obtain a satisfactory result aesthetically and/or functionally.

Most times, the patients consider nose revision when the shape is different from what was expected, when the implant is severely moving or when a side effect such as infection occurs. Nose revision requires a higher level of technique compared to the first surgery, thus it is important to choose a hospital with a structural surgical system such as collaboration between an ENT and plastic surgeon, who has much experiences and advanced technique regarding nose surgery.

Cases that require nose revision

- A crooked nose implant

In this case, after an implant is removed, symmetrical shaped spaces for the new implant has to be created. Then the implant, which has been designed considering the shape of the nasal dorsum, will be inserted. The implant will not be crooked if it’s fixed on mid-section of the cartilage.

- Too high nasal bridge

In this case, the silicone implant will first be removed, followed by the hump and the bridge will be lowered by inserting a thinner implant, in consideration of the patient’s desires. If the nasal dorsum becomes more narrow via osteotomy in order to correct broad nasal bone, the nose will look more defined even if the height of the bridge becomes lower.

- Lowered nose tip

In this case, we create the nose tip by using a nasal septum cartilage in order to make the nose tip cartilage stronger. Then we graft cartilage above that to ensure the nose tip does not become lower.

- Narrow nasal bridge

In this case, replacing an implant to a broader shaped one can correct the issue.

- Nose tip deformation

In this case, severe scar tissue will be removed at first. Then the nose tip will be reconstructed by using a nasal septum or ear cartilage in order to recreate the nose tip.

- Shortened nose due to a capsular contracture

In this case, removal of the silicone implant is required and the patient has to wait 3 to 6 months from the first surgery, until the surrounding skin tissues become soft.
Shortened nose tip can be corrected by lengthening the nose tip, using nasal septum from inside the nose. Nose bridge can be made higher by using an implant.

Ideal nose revision timeframe

1. Normally 6 months from the first surgery is required, when the general skin tissue becomes soft.

2. For the case of simple bridge augmentation, nose revision 3 months post surgery is possible.

3. An implant has to first be removed for the case of an infection. When an infection completely disappears, revision nose surgery can be performed.

Special features of a nose revision

- Acknowledge the cause of the first surgery’s failure

Understand and analyze the cause of the first surgery’s failure through sufficient consultation with a plastic surgeon and ENT surgeon, to have more successful nose revision surgery.

- Anticipate the result through 3D virtual simulation

Anticipate the result of the revision surgery through 3D virtual simulation which shows you the almost realistic result.

- Surgical plan for each individual’s nose

We provide a surgical plan based on each individual’s facial features, in order to create a harmonious nose.

- Collaboration between a plastic surgeon and ENT surgeon

A surgical plan is built for functional treatment, after the ENT surgeon accurately diagnoses the condition of the nasal bone, cartilage inside the nose, and surrounding skin tissues. Then the plastic surgeon and ENT surgeon designs a beautiful nose that is balanced with a patient’s face, in order to create a beautiful and healthy nose.

- Minimized desquamation

The skin tissues may already be damaged from the first surgery. Therefore, we preserve the skin tissues by minimizing desquamation when performing a nose revision.

Surgery information

Surgical time: 2 hours

Anesthesia: Local sleeping anesthesia

Hospitalization: Not required

You’re required to stay in Korea for 7 days after the surgery