Rhinoplasty Korea

Diced cartilage in fascia was used in silicone-related contracted nose patient. She had a silicone implant on the nose and the tip was up-rotated due to contracture. Her nose looked short and the tip was upturned. Silicone was removed from the dorsum and the deficient dorsum was filled with diced rib cartilage in temporalis fascia. Her tip was elongated using septal extension graft and tip grafts. After surgery, her dorsum looks natural and the tip was refined with optimal lengthening.

Bone cutting in rhinoplasty is an essential part for nasal bone modification. It is necessary to correct a deviated nose, to remove the hump, and to narrow/widen nasal bone. It is the most invasive surgical technique in rhinoplasty and causes edema and brusing of the nose. Most surgeons use osteotome for cutting the bone. It literally cuts the bone with physical strength like we cut apple with knife. The common problem of cutting the bone with conventional osteotome is difficulty in fine control of the cut. It is also blindly done under the skin relying on the tactile sense of the surgeon. New ultrasonic osteotome called Piezotome uses the ultrasonic power to cut the bone. It enables fine cutting of the bone with easy control and causes less bone loss. It is done under direct vision after wide skin elevation, which causes less edema and brusing on the contrary to the common belief that edema will increase with wide skin elevation. The use of this equipment is slowly increasing rec