Knowing the cause of contracted nose revision rhinoplasty (#contractednose #revisionrhinoplasty)

 Knowing the cause of
contracted nose revision rhinoplasty 

It is no exaggeration to say that plastic surgery is now popular as a method of managing appearance. Among them, the eyes and nose are the popular parts that many people undergo plastic surgery. Especially, since the nose is located in the center of the face, the shape and height of the nose are important, so many people will undergo rhinoplasty. However, just as the proportion of people undergoing rhinoplasty is high, so is the proportion of #revisionrhinoplasty.

There are many reasons for reoperation, depending on the condition of the patient’s nose. For example, symptoms such as inflammation, contractures, etc. persist, or the patient is not satisfied with the height or shape of the nose after surgery.

In particular, many people who come to Jayjun for consultation is because of the  #contractednose caused by the previous rhinoplasty. For these people, before performing revision rhinoplasty for contracted nose, this article will introduce in detail the causes of contracted nose and the process of revision rhinoplasty for contracted nose.

First, what is a contracted nose?

After rhinoplasty, if the inflammation caused by various reasons is left untreated, as time goes by, scar tissue will continue to form and eventually form a thick film, which will then cause the tip of the nose to harden and shrink. As a result, as the tip of the nose rises, the nose looks like a short and upturned nose.

At this time, it is necessary to accurately identify the cause of the  #contractednose and choose the appropriate surgical method. If part of the implant is crushed after the rhinoplasty, or the contracted nose is upturned, if the nose is as hard as a stone, the tip of the nose turns red, or the implant can be seen, the contracted part should be removed before performing #revisionrhinoplasty.

If improvements are not made, not only will it cause functional problems, but also various problems such as structural changes, so it is best to take quick action.

Also, this phenomenon may be the main cause of implant problems or nose inflammation.

✔ Revision rhinoplasty for contracted nose that uses autologous cartilage

The contracted nose must go through the process of removing the implant that caused the contracture and eliminate the cause by fully relaxing and dissolving the scar tissue. Then, safer autogenous cartilage is used for reoperation to prevent the contracture from happening again. Because it does not use processed implants that are usually used for rhinoplasty, but uses autologous cartilage, it has good adaptability in the body and can be used with confidence.

Here, the importance of #revisionrhinoplasty for contracted nose should be to prevent the tip of the nose from deforming again, and prevent side effects such as contracture and inflammation from recurring.

✔ Types of autologous tissue for revision rhinoplasty for contracted nose

The autologous tissue used in revision rhinoplasty for contracted nose includes septal cartilage collected from the inside of the nose, ear cartilage collected from the ear, and costal cartilage inside the ribs. In addition, to prevent the implant from being seen, autologous dermis that suitable for the skin and autologous fascia is used.

Since revision rhinoplasty for contracted nose uses autologous tissue, there is little possibility of side effects such as inflammation or contracture after surgery, and it can help to create a natural nasal line.

However, it can be said that revision rhinoplasty using autologous cartilage is a tricky operation that requires a high level of technical skills and skilled expertise. Therefore, it is important to make a more cautious decision than the first operation. For this reason, it is necessary to accurately determine the reason for the failure of the previous operation, and determine a thorough operation plan based on the reason, in order to prevent another reoperation.

By accurately analyzing the shape and internal structure of the contracted nose caused by the previous surgery, a 1:1 customized rhinoplasty suitable for the harmonious facial proportions can be customized to fully solve the contracture of scar tissue and reduce the possibility of contracture recurrence. In addition, adequate consultation should be conducted with medical staff with extensive clinical experience and professional knowledge to accurately find and correct the cause of previous surgical errors, and jointly improve function and aesthetics.

In addition, you need to carefully check the facility where the reoperation will be performed. Does the hospital have a systematic safety system? In addition to the operating room, is there a sterile cleaning system introduced to prevent infection? Is there a concept other than disinfection to help always maintain the best environment for surgery? Since contractures that occur after surgery are also one of the inflammatory reactions, it is necessary to perform surgery in a more comfortable and cleaner place to avoid side effects and reoperation again.

The last thing to check is that in order to remove the nasal implants used in the previous operation, anesthesia must be performed before the operation. Therefore, it should also be checked whether the anesthesia specialist directly performs general anesthesia, sleep anesthesia or local anesthesia. Please check whether there will be an anesthesiologist accompanied from before the operation to after the operation to check the patient's condition in real time until the patient recovers comfortably after the operation.