Rhinoplasty Korea

This patient had silicone implant on the dorsum and tip surgery with septal and conchal cartilage. As time passes, the tip and supratip area dropped and a step deformity of the dorsum developed. You can see the short silicone implant on the dorsum from the X-ray and the subsequent step deformity on the preoperative lateral view in the middle. Silicone was replaced with autologous cartilage and tip ptosis was corrected with cartilage support. It is sometimes difficult to expect how much the tip projection will decrease as time passes, but with proper technique using autologous tissue, the margin of error should be within 10%.

This gentleman had a few failed previous rhinoplasties and finally ended up with upturned tip with nose contraction. At surgery, there was no allplast inside but a long K-wire fixed to the anterior nasal spine supporting the tip was removed. All cartilage grafts removed, recarved, and used as septal extension graft and extended spreader grafts to fix it. Skin was widely undermined to mobilize to the elongated new dome. Conchal composite graft was used to fill the gap between elongated skin and the deficient mucosa on the right side. Even though this is an early postoperative photos, you can recongnize the elongated nose with pushed down nostril margin and columella. Even without using rib cartilage, short upturned nose can be fixed effectively.

https://www.realself.com/find/South-Korea/Seoul/Otolaryngologist/Hong-Ryul-Jin