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Closed Rhinoplasty Korea for Mesh Removal and Natural Nose Reconstruction

  • Dr. Chayoung Kang
  • 2024년 10월 26일
  • 2분 분량

최종 수정일: 4월 13일

This case demonstrates closed rhinoplasty Korea for removing mesh implants and restoring nasal structure using rib cartilage reconstruction. The procedure improved nasal symmetry, reduced inflammation risk, and achieved a natural, balanced result.
Author: Dr. Chayoung Kang, Director, NoseLab Rhinoplasty Clinic

This patient presented with nasal deformity and structural imbalance following previous rhinoplasty involving mesh implantation.


The initial surgery included septal cartilage, mesh insertion, and osteotomy. Over time, the patient developed a bulbous nasal tip, asymmetry, and unnatural contour.


In this closed rhinoplasty Korea case, the goal was to remove the mesh, reconstruct the nasal structure, and achieve a natural, subtle nasal appearance.


Key concerns included:

  • Bulbous nasal tip

  • Wide nasal bridge

  • Nostril asymmetry

  • High nasion

  • Drooping columella

  • Structural damage from mesh adhesion


Mesh-related complications required careful removal and full structural reconstruction.


📩 International Consultation

Pre-surgery design consultation photos for mesh removal rhinoplasty: frontal view and both side views showing bulbous nasal tip and asymmetry.
Pre-Surgery Design Consultation: Frontal View and Both Side Views

✅ Surgical Background – Closed Rhinoplasty Korea


Closed rhinoplasty Korea allows safe removal of foreign materials and precise structural reconstruction without external incision.


In mesh cases, the primary challenge is adhesion to surrounding tissue and cartilage damage.

Pre-surgery design consultation photos for mesh removal rhinoplasty: frontal view and both side views showing bulbous nasal tip and asymmetry.
Pre-Surgery Design Consultation: Nostril View and Both Oblique Side Views

✅ Structural Problems Identified


Preoperative findings included:

  • Mesh embedded within soft tissue

  • Severe adhesion between mesh and surrounding structures

  • Loss of septal cartilage support

  • Bulbous and blunt nasal tip

  • Nostril asymmetry

  • Unnatural nasal contour


✅ Surgical Plan


Removed mesh fragments from previous nasal surgery, extracted during mesh removal rhinoplasty.
Photos of Removed Mesh Fragments

1. Mesh Removal

Complete removal of all mesh fragments while minimizing tissue damage


2. Adhesion Release

Careful dissection to free surrounding tissue


3. Septal Reconstruction

Reinforcement using autologous rib cartilage


4. Nasal Tip Refinement

Reconstruction of tip shape and support


5. Dorsal Adjustment

Correction of bridge height and contour


6. Nostril Symmetry Correction

Balancing nasal base structure


✅ Surgical Results


Frontal View

  • Reduced nasal width

  • Improved symmetry

  • Refined tip

Before and after mesh removal rhinoplasty: frontal view showing refined nasal tip and improved balance
Before Surgery (Left) / Immediately After Surgery (Right)

Oblique View

  • Smooth nasal contour

  • Improved harmony

Before and after mesh removal rhinoplasty: oblique side view highlighting refined nasal contour and smoother profile
Before Surgery (Left) / Immediately After Surgery (Right)

Lateral View

  • Lowered nasion

  • Natural profile

  • Balanced tip projection

Before and after mesh removal rhinoplasty: side view showing natural dorsal line and improved nasal tip projection
Before Surgery (Left) / Immediately After Surgery (Right)

Nasal Base View

  • Improved nostril symmetry

  • Corrected columella

Before and after mesh removal rhinoplasty: oblique side view highlighting refined nasal contour and smoother profile.
Before Surgery (Left) / Immediately After Surgery (Right)

Functional Outcome

  • Reduced inflammation risk

  • Stabilized nasal structure


✅ Surgeon’s Commentary


Mesh is not an ideal material for nasal augmentation due to its tendency to cause inflammation and adhesion.


In revision cases, removal of mesh is often necessary to restore healthy tissue conditions.


In this case, rib cartilage reconstruction was essential due to the damage caused by the previous surgery.


Closed rhinoplasty Korea allows safe removal and precise reconstruction with minimal additional trauma.


Achieving a natural and subtle result requires careful balance rather than excessive augmentation.


If you are experiencing complications from mesh or other implants, a structural approach is critical for long-term stability.


📩 International Consultation


✅ FAQ


Q1. Why is mesh problematic in rhinoplasty?

It can cause inflammation, adhesion, and long-term complications.


Q2. Is mesh removal difficult?

Yes, due to strong adhesion to surrounding tissue.


Q3. What is used after mesh removal?

Autologous cartilage is preferred for safe reconstruction.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

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