"Revision Rhinoplasty Requires Thorough Consultation with an Experienced Plastic Surgeon"

[SegyeBiz = Reporter Hwang Ji-hye] Rhinoplasty is considered one of the plastic surgery procedures with a particularly high rate of dissatisfaction and revision surgeries. Because the nose is the most three-dimensional organ located in the center of the face, if the surgery does not go well, satisfaction can drop significantly compared to other areas. If one is dissatisfied with the surgical results, it is common to undergo multiple repeat revision surgeries, so it must be approached with caution.

Rhinoplasty revision is performed due to various reasons. Experts report that causes include dissatisfaction—such as being unhappy with the shape of the nose after surgery, or the implant being too high or too low—as well as rhinoplasty side effects like inflammation caused by the implant, implant visibility, implant shifting, and capsular contracture.

During revision rhinoplasty, it is necessary to thoroughly analyze the causes of dissatisfaction and the side effects that occurred during the previous rhinoplasty, accurately identify the problems, and improve them in the right direction. In particular, revision surgery has a higher level of difficulty than the primary surgery and must be approached with greater caution, so it is strongly recommended to undergo the procedure only after thorough consultation with an experienced plastic surgery specialist.

According to experts, it is important not only to remove the implant used in the previous surgery, but also to cleanly remove the capsule from the previous surgery without causing damage. The capsule is a membrane surrounding the implant that forms when an implant is inserted; if it is not completely removed, the nasal line may look blunt and unnatural. Since remaining capsule tissue may necessitate an additional revision surgery, it must be removed cleanly during the revision rhinoplasty. In addition, beyond aesthetic aspects, the nose is an important physical organ responsible for breathing and the sense of smell, so revision surgery must take into account both aesthetics and function. Highly satisfactory surgical outcomes can be achieved by correcting the causes for the revision while simultaneously resolving any functional nasal problems caused by the primary surgery.

To prevent a secondary revision surgery after the procedure, it is crucial to perform the surgery so that the shape of the nose does not deform again, and to conduct the surgery in a highly safe manner to minimize rejection reactions and contracture. Experts say that since a variety of materials are used in rhinoplasty—such as cartilage (ear cartilage, septal cartilage, costal cartilage), dermis fat, silicone, Gore-Tex, and Alloderm—it is best to select materials suitable for the individual through in-depth consultation with the medical team.

Dr. Kim Sung-hoon, director of SH Plastic Surgery, explained, "Rhinoplasty revision requires accurately identifying the problems of the first surgery through thorough consultation with the patient and performing a customized surgery based on a precise diagnosis. As it must be approached cautiously, considering both the function and aesthetics of the nose, a tailored surgery by a highly experienced and skilled plastic surgeon is necessary."

He added, "Since continuous observation and management after surgery can help facilitate a rapid recovery, it will be helpful to choose a clinic that provides thorough postoperative care."

[Press Coverage] "Rhinoplasty Revision Requires Thorough Consultation with an Experienced Plastic Surgery Specialist"

Source: Segye Biz http://www.segyebiz.com/newsView/20220111507004?OutUrl=naver