Artificial Dermis Removal Rhinoplasty: Rib Cartilage Reconstruction for a Natural and Feminine Nose Line

noselab
20시간 전
3분 분량

Background of Artificial Dermis Removal Rhinoplasty

Patient Presentation and History

This patient presented with a prominent dorsal hump and an elongated, masculine nasal bridge caused by retained artificial dermis from a previous procedure. Uneven absorption of the material resulted in significant dorsal irregularity. Because her septal cartilage had been extensively harvested in earlier surgeries, she required a structural approach suitable for Artificial Dermis Removal Rhinoplasty.

Preoperative views for Artificial Dermis Removal Rhinoplasty showing frontal and side profiles. — Preoperative design consultation photos: frontal, left oblique, and left side views before Artificial Dermis Removal Rhinoplasty.

Patient’s Aesthetic and Functional Goals

Her goals included:

Complete removal of artificial dermis
Correction of dorsal contour irregularity
Elimination of the dorsal hump
Reconstruction of a feminine, stable nasal tip

These objectives aligned precisely with the reconstructive principles of Artificial Dermis Removal Rhinoplasty.

Right-side preoperative views for Artificial Dermis Removal Rhinoplasty including nostril view. — Preoperative design consultation photos: right side view, right oblique side view, and nostril view before Artificial Dermis Removal Rhinoplasty.

Surgical Plan for Artificial Dermis Removal Rhinoplasty

Complete Removal of Artificial Dermis

All residual artificial dermis was meticulously dissected and fully removed. Since fibrosis and uneven absorption often distort the nasal dorsum, establishing a clean structural foundation is critical in Artificial Dermis Removal Rhinoplasty. Careful dissection prevented damage to surrounding soft tissue.

Lateral Osteotomy and Hump Correction

Lateral osteotomy was performed to reposition wide nasal bones inward, creating a slimmer framework. The dorsal hump was precisely shaved to restore a smooth, elegant profile—one of the primary aesthetic goals in Artificial Dermis Removal Rhinoplasty.

Nasal Tip Reconstruction Using Autologous Rib Cartilage

Because septal cartilage was insufficient, rib cartilage was harvested to reconstruct the nasal tip. Rib cartilage offers the strength and long-term projection required for revision cases and is frequently the preferred material in Artificial Dermis Removal Rhinoplasty.

Dorsal Refinement with a Customized Silicone Implant

After the tip structure was secured, a silicone implant was shaped to optimize dorsal height and curvature. This combination allowed precise contour control while maintaining long-term stability.

Surgical Outcomes After Artificial Dermis Removal Rhinoplasty

Correction of Dorsal Irregularities

Once the artificial dermis was completely removed, dorsal irregularities resolved, revealing a smoother and more balanced nasal surface.

A Softer and Feminine Nasal Profile

Through lateral osteotomy and hump correction, the previously long and masculine bridge transformed into a softer, more feminine silhouette—one of the hallmark outcomes of Artificial Dermis Removal Rhinoplasty.

Stable and Natural Nasal Tip Support

The rib cartilage framework provided durable support and natural tip definition. This reconstruction is essential for long-term success in revision rhinoplasty.

Balanced Nasal–Facial Proportion

The combination of rib cartilage for the tip and silicone for the dorsum created a harmonious and proportional nasal contour that complemented the patient’s facial structure.

Before and after views for Artificial Dermis Removal Rhinoplasty showing frontal nasal changes. — Before Surgery (Left) / Immediately After Surgery (Right)

Side view before and after Artificial Dermis Removal Rhinoplasty showing dorsal and tip changes. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril base views before and after Artificial Dermis Removal Rhinoplasty showing symmetry changes. — Before Surgery (Left) / Immediately After Surgery (Right)

Specialist Commentary on Artificial Dermis Removal Rhinoplasty

Artificial dermis behaves unpredictably. Some patients absorb it rapidly, while others retain it for years, developing visible deformities. For this reason, complete removal is mandatory in Artificial Dermis Removal Rhinoplasty, ensuring that deformities do not persist or worsen over time.

Because septal cartilage was unavailable, rib cartilage was the most reliable structural material. Rib cartilage provides strength, volume, biocompatibility, and long-term stability—qualities essential in revision cases.

Using rib cartilage for the nasal tip and silicone for the dorsum is a strategic and widely accepted approach, particularly when restoring both structure and aesthetics. Precise lateral osteotomy further contributed to narrowing the bony vault and enhancing overall facial harmony.

At NoseLab Clinic, our approach to Artificial Dermis Removal Rhinoplasty prioritizes structural restoration, long-term durability, and natural aesthetic refinement tailored to the patient’s unique anatomy.