Nasal implant extrusion after rhinoplasty and nasal reconstruction

In a case of nasal implant extrusion, have to remove the implant as soon as possible.

To remove the implant, you should find the best rhinoplasty surgeon who specializes in revision rhinoplasty.

"Dr. Chang Geun-Uck of Hanabi rhinoplasty clinic has over 16years experience on revision rhinoplasty"

This is a revision case of silicone extrusion which is conducted by Dr. Chang

This patient did a nasal reconstruction surgery.

She got a serious side effect of filler injection, and her nasal silicone has extruded.

To make her nose new, Dr. Chang re-made four things as below,

1) Muscos of nasal fossae

2) Nasal cartilage

3) Nasal skin

4) Nasal supporting structure

This is one of serious case.

But there is several different kind of nasal implant extrusion.

If you have similar problem, you can contact us to have online consultation.

hanabiclinic@gmail.com

Thank you

Hump removal and tip reduction

This is a case of rhinoplasty which is including hump removal and tip reduction.

Nasal hump removal 

Nasal hump is a case of bulged nose bridge and is caused by out-grown nasal bone and cartilage.

Surgical methods

1) Precisly check and analyze the state of nasal hump using 3D-CT.

2) Remve nasal bone and cartilage that form a hump.

3) Gather nasal bone using osteotomy

4) If need higher bridge, conduct the nasal bridge augmentation using implant or autologous materials.

Nasal tip reduction 

In a case of nasal tip is long, it can make face look long too.

Surgical methods

1) Nasal columella incision

2) Remove the front part of nasal septum

3) Make a new nasal tip support

As you can see, hump nose (hooked nose) has not only the bulged nasal bridge but also droopy nasal tip.

Therefore, hump nose rhinoplasty has to remove the nasal bridge, and also correct the droopy nasal tip at the same time.

Thank you for reading this article.

website: www.hanabiclinic.com

Over-projected nose correction

Feature of over-projected nose

If nose over-projected, nasal tip points downward.

We can call over-projected nose as long nose or pointy nose.

Over-projected nose can make a nose look too big.

Especially from the profile view, it can make face long.

Over-projected nose correction

The purpose of over-projected nose correction is to improve the angle between nasal tip and upper lips, and the length of a nose in proportion to face ratio to ideal.

The ideal angle from nasal tip to upper lips is 90 ~ 95 degrees.

Face can be divided vertically into three equal parts.

The ideal proportion of nose is 1/3 in whole face.

However, Over-projected nose has narrow angle and bigger than 1/3.

Therefore, Long nose rhinoplasty consider this point to make angle and ratio to ideal.

Open rhinoplasty method

1) Incision along the area between the nostrils. (called the columella)

2) Removing front nasal septum.

3) Making a new nasal tip support.

Hanabi's Over-projected (long nose) nose rhinoplasty photos

Thank you for reading this article.

Correction of Hump nose cosidering facial balance

Nasal hump is caused by out-grown nasal bone and cartilage.

Therefore, Nasal hump nose correction is frequently regarded as a reduction surgery.

However, when nose has a nasal hump, it can make look old and obstinate.

So, the hump nose correction must consider of facial balance.


1) 3D-CT analyzing

To precisly correct and remove the nasal hump, it is important to analyze the nasal bone and cartilage before surgery.

Hanabi rhinoplasty clinic analyzes the nasal inside using 3D-CT


2) Nasal hump removal

Hanabi precisyly removes the nasal bone and cartilage that form a hump.

3) Osteotomy

After removal of nasal bump, nasal bridge can look flat and wide.

In this case, can make nasal bridge narrow and higher using osteotomy.

4) Nasal bridge augmentation

If want to make nasal bridge more higher, can consider of nasal augmentation using implant or autologous materials. 

5) Nasal tip plasty

Hump nose has not only about bulged nasal bridge, but also has a droopy nasal tip.

In this case, need to do nasal tip plasty using autologous materials.

"And the line from nasal bridge to nasal tip must be balanced and beauty."

Thank you for reading this article.

Droopy nasal tip correction

What is droopy nasal tip?

A droopy nasal tip is when the tip of the nose points downwards.

There are many cases of droopy looking tips when smiling and short looking philtrum.

Droopy nasal tip gives aged facial impression or make the face look long.

Causes of droopy nasal tip

1) The nasal tip supports becomes weaker.

2) The nasal tip grows to downwards.

3) Then nasal tip plasty using weak septal cartilage.

Correction of droopy nasal tip

1) Analyze nasal tip structure using 3D-CT

2) Using nasal septum cartilage, strengthen and lift up a droopy nasal tip.

3) If strength is not enough, add ear cartilage to nasal support.

4) Consider Ideal angle from nasal tip to upper-lips.

5) In a case of revision, cartilage amount is not enough. In this case, rib cartilage recommended.

Rib cartilage is autologous material and is hard enough to overcome the tension, and its amount is enough.

Hanabi's droopy nasal tip correction.

Thank you for reading this article.

www.hanabiclinic.com

Nasal permanent filler removal

Nasal filler injection is a good method to give the result simply without surgery.

However, when side-effect occurs, it can cause a serious problem.

Permanent filler complication treatment

When side-effect ocurred by permanent filler (ex, polyacrylamide hydrogel, Aquamid), it is important to remove filler, granuloma, and scar tissue completely with surgical method.

1) Remove most of filler (over 95%) using surgical method.

2) Restore height and shape of nasal bridge using dermis.

If nasal skin has changed to thin, autologous dermis or donated dermis can be a good material.

3) Restore of nasal tip using autologous septal cartilage and ear cartilage. 

Thank you for reading this article.

Tip to reduce swelling after rhinoplasty surgery

The reason of swelling after rhinoplasty surgery is related to bleeding and tissue damage.

To reduce swelling, Hanabi rhinoplasty clinic minimizes this bleeding and tissue damage during operation, and provide High pressure oxygen treatment.

Swelling is unavoidable, and it is a part of recovery process. In general, big swelling(visible swelling) disappear in about a week, and small swelling disappear in three months to six months.

1. Resting and Sleeping
Enough resting and sleeping with soft pillow is helpful in relieving swelling. And It is good that you keep your head higher than your heart during resting and sleeping.

2. Compress with ice and warm pack.

Apply the cold compress for the first three days after the surgery. And then apply warm compress following clinic’s guideline. Do not apply on nose. Apply to the area around eyes, forehead, cheeks, and around nose.

3. Walkinig

Walking prevents blood clots from forming, and help to reduce swelling.

4. Nasal splint.
The nasal aqua or aluminium splint help to promote healing, and reduce swelling. Even though you may feel uncomfortable, apply it following clinic’s instruction.

5. Eat good food.
Pumpkin and black bean is a good food to reduce swelling. And drinking a water, and eating fruits like watermelons and cucumbers is also helpful.

6. Medications
Take a medications following instructions. It will help to reduce swelling and pain relief.

7. Stop smoking and alcohol
If you are smoker, stop smoking for one month is helpful for reducing swelling. And alcohol thins the blood, therefore, avoid drinking alcohol for at least 4 weeks.