Rhinoplasty Korea

Previously, all rhinoplasty surgeons recommeded delaying revision rhinoplasty at least 6 months after removing infected alloplast. They all considered doing simultaneous rhinoplasty after infected alloplast removal raises the risk of another infection. From the patient's point of view, delaying surgery causes a lot of problems. They have to wait at least 6 months with the nose disfigured and social activity restraints. The skin will shrink after implant removal, which causes difficulty in later revision. This pattern of surgery also costs more money than simultaneous revision rhinoplasty. I have tried simultaneous revision rhinoplasty using autologous tissue when removing infected alloplast removal. I thoroughly removed infected tissue with currettage, irrigate with antibiotic solution, and reconstruct the nose with autologous tissue such cartilage, perichondrium, fascia, and periosteum. Fine tuing of soft tissue is sometimes difficult because the tissue is slightly edematous

Nasal tip modification is considered as highlight of rhinoplasty. Many Asians now want their tip modified according to the dorsal modification. A variety of procedures are included in this category: tip elevation/lowering, bulbous tip refinement, asymmetric nostril correction, short upturned tip correction, wide alar base correction.... Many techniques are used for tip modification. One of the most common techniques is septal extension graft. It affords a basis for tip modification and upon which, a lot of grafting techniques are added for additonal effects. This technique should be used judiciously because a faulty application will cause caudal septal deviation and nasal obstruction. It should not be overused because a lot of other tip modifying techniques can make similar effects. It is most useful when the tip projection is low and slightly upturned. To project the tip while not making the nose upturned needs a well designed septal extension graft considering the vector.