Rhinoplasty Korea

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.

This lady developed short nose after multiple previous rhinoplasties. By using folded temporalis fascia on the dorsum, conchal cartilage onlay graft on the tip, and conchal composite graft on the vestibule, a natural looking nose that has lengthened tip with mildly elevated dorsum. 

This lady has deviated silicone implant and associated short, contracted nose. It is a very common complication of silicone implant rhinoplasty. Revision rhinoplasty included silicone removal, replacing the silicone with rib cartilage, and lengthening the nose and tip. Only autogenous materials like rib cartilage can enable all these procedures. Filling the empty, excavated dorsum with carved rib cartilage requires a lot of efforts. Tedious carving to prevent warping, secure fixation of the graft to the widely dissected dorsum, making a smooth transition from forehead to nose, prevention of an operated look, etc. Lengthening the contracted skin needs wide undermining of skin, making a stable flatform to fix the lengthened tip cartilage and skin, and filling the deficient vestibular skin if present. Behind the 3 series of pre and postoperative photos below lie 4 hours of focused efforts of a rhinoplasty surgeon.