Rhinoplasty Korea

Dermis is one of the skin layers, which is in between the epidermis and subcutanous layer. It is the thickest part of the skin. The thinnest one is 0.6 mm in the upper eyelid and the thickest one is about 3 mm in the palm, sole, and back. For rhinoplaty purpose, dermis is harvested from the buttock, which has the thickest layer. After elliptical skin excision, epidermis and subcuatenous tissue are removed to obatin dermis (below photos). Dermis is commonly used to cover the tip grafts to prevent showing. It is also used to camouflage damaged skin after failed rhinoplasties. Some surgeons use it to augment the dorsum after silicone removal. Augmenting the dorsum with dermis has two potential disadvantages: one is infection and the other is resorption. Once the dermis graft is infected, there is a high possibility of comcomittant skin damage, so absolute sterile technique is important. Resorption of dermis is somewhat unpredictable. In severe revision cases that has decreased bloo...

Medpor is porous polyethylene which has many pores that tissue grows in. Thin sheet of Medpor is commonly used as septal extension graft, columellar strut, and splinting graft of the septum. Sometimes it is used as dorsal implant, too. Common problems of Medpor used for rhinoplasty are bad smell from the nasal cavity, hard and painful tip, extrusion of implant, and infection. Removal of implant is the only solution for these problems. As tissue grows into the pores, removal is sometimes difficult, but it can be safely removed in most cases. Important point is maintaining the septal support or tip support after removal. After removal, often the septum or tip cartilage is weak with loss of dorsal or tip height, needing support with autologous cartilages. Below is a case of Medpor removal. She complained of overly projected tip with stiffness and  pain. From the surgical photo, you can see the L-strut made with Medpor. After removal of Medopor, septum was reconstructed and tip an...

Recently an Australian patient had a revision surgery using rib cartilage. She posted a thorough review of her journey on the web. You may want to look at it, so here is the link. So impressive not because she said good things on me, but because I could feel her pain and incredible efforts during her journey of revision rhinoplasty. https://forum.purseblog.com/threads/my-revision-rhinoplasty-at-dr-jins-premium-nose-clinic-2018-pt-1.994030/