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Showing posts from May, 2018

Rib cartilage rhinoplasty

Using rib cartilage in rhinoplasty needs lots of attention both in patient's and surgeon's perspective. For patient, it means additional incision on the chest, possible harvest site complications including chest pain, scar, and penumothorax, more cost, longer surgery time, and possibility of warping. From the surgone's perspective, rib cartilage is usually the last resort of autogenous material for rhinoplasty. It affords a lot of possibilities for rhinoplasty such as dorsal augmentation, tip grafts, and lots of septal grafts, all of which are not possible with other autogenous sources. It also means a lot of experience is necessary for skillful use of rib cartilage. I have used rib cartilage for rhinoplasty for more than 15 years. As cases accumulate, I can harvest the rib with small incision (less than 1.5 cm) without any complications such as peumothorax or severe pain. I do not cut the muscle and only retract it and this helps to reduce pain. Scar can be minimi

Options after silicone removal

Allopastic implant is commonly used for dorsum augmentation in Asian countries. This is removed for various reasons; deviation, extrusion, foreign body reaction, and inflammation. When the allopastic implant needs removal, there are 3 options for the patient. First, just remove the implant and wait. Further surgery on the nose is planned after all complications subsided. The best time is at least 6 months after surgery. This is a freqeuent option when alloplst was implanted within 1 year without any further manipulation of the dorsum and the tip. Second, implant is removed and restoration of the nose to the preoperative status is done at the same time. Nasal hump removal, rasping of the dorsum for implant fitting, implantation years earlier, other manipulation of the dorsum and the tip needs additional maneuver to make the dorsum and tip look normal after implant removal. Commonly, remaining septal or conchal cartilage, periosteum, or fascia is used for this purpose. Th

Twisted nose correction

Twisted nose correction is a challenging issue in rhinoplasty. Causes are diverse including trauma, congenital, and previous surgery. Not only twisted nose draws people's attention to the nose, but also it causes nasal obstruction. Treatment starts with complete analysis. External nasal bone and cartilage, skin, and septum/turbinate inside the nose need to be examined. Anatomical analysis of the deviated nose is the basis for successful correction. Surgery includes septum correction, osteotomy for bone correction, various cartilage grafts for upper septum correction, and camouflage graft for final touch. Final results need complete straightening of the septum, realignment of the nasal cartilage and bone, and turbinate reduction for good breathing. Surgery takes about 2 hours and need 6 hours of admission. The patient can go home in the late afternoon when the surgery starts early in the morning. The swelling of the face lasts 2-3 days and after 1 week, all the casts a

Starting google blog "Rhinoplasty Korea"

This blog aims to share my experience in rhinoplasty with friends of the world who are interested in nose job. My over 20 years of experience in the filed of rhinoplasty, revision rhinoplasty, nasal reconstruction, and difficult septal surgery will be reflected with helpful tips for the people who need help. Hope many people can enjoy my blog. Thanks. Director Dr. Jin's Premium Nose Clinic, Seoul, Korea www.doctorjinent.modoo.at