Rhinoplasty Korea

Removing nasal filler is often required due to diverse reasons. Acute side effects such as blindness, skin necrosis, infecton are representative reasons. Recurrent skin reaction, nodule or granulation formation, and pressure sense are other reasons for filler removal. Hyaluronic acid filler is easily removed with hyaluronidase injection. Non-resorbable fillers such as auqamid can be squeezed out after making a small incision on the skin, but sometimes it is difficult to completely remove all the fillers injected into the dermis. Trying to attempt all the fillers has the danger of damaging dermis. Sometimes open approach is required when simultanous rhinplasty after filler removal is required. At least a week prior to surgery, absorbable fillers are removed with hyaluronidase injection for accurate shape control in revision rhinoplasty. Fillers at the nasal tip can be removed at the time of open approach and you can often observe inflammation of the soft tissue around the tip. ...

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...

Silicone is the most widely used alloplastic implant for dorsal augmentation. Gore-Tex, an expanded polytetrafuoroethylene, is also a commonly used material. Unlike silicone implant, Gore-Tex is soft and feels natural. It has micropores, so tissue grows inside and the implant is fixed to the tissue. While Gore-Tex has many advantages, its disadvantages are also distinct. Firstly, it can erode nasal bone a little when the implantation duration is long. Erosion causes pain and heaviness on the dorsum. It is common to see a 'rail road deformity' after longstanding Gore-Tex removal. 'railroad deformity of the dorsum after Gore-Tex removal' Second, it is more difficult to remove than silicone implant. Because tissue grows inside the micropores, it adheres to the tissue. If the implant is inserted deep to the radix, sometimes complete removal is extremely difficult. In this case, endoscopic observation of the nasofronta area helps to completely remove the silicone piec...