Closed Rhinoplasty Korea for Silicone Extrusion Correction and Structural Reconstruction

This case demonstrates closed rhinoplasty Korea for correcting silicone extrusion after long-term implantation. Structural reconstruction and functional airway correction restored nasal stability, improved breathing, and achieved a natural, balanced result.

✅ Author / Published / Updated

• Dr. Cha-Young Kang , NoseLab Clinic

• Published: 2025

• Last Updated: 2026

This patient presented with silicone extrusion and chronic nasal symptoms after long-term implantation.

The patient had undergone primary rhinoplasty with an L-shaped silicone implant 30 years ago, followed by a revision surgery approximately 20 years ago.

Over time, progressive extrusion of the implant and chronic rhinitis symptoms developed.

In this closed rhinoplasty Korea case, the goal was to remove the compromised implant, reconstruct the nasal framework, and restore both function and aesthetics.

Key concerns included:

• Silicone extrusion through nasal tip

• Thinned and weakened nasal tissue

• Chronic rhinitis (nasal discharge and sneezing)

• Nasal asymmetry

• Structural instability

• Functional breathing difficulty

This case required complete implant removal and structural reconstruction rather than simple cosmetic correction.

If you are experiencing similar complications, early structural evaluation is essential.

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Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

✅ Surgical Background – Closed Rhinoplasty Korea

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

In silicone extrusion cases, the primary issue is tissue damage and structural instability caused by long-term pressure and inflammation.

Reconstruction must address both the nasal framework and airway function to prevent recurrence.

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

✅ Structural Problems Identified

Preoperative analysis revealed:

• Silicone extrusion due to long-term implant pressure

• Thinned nasal skin and soft tissue

• Structural weakness of nasal framework

• Deviated septum

• Chronic inflammation and rhinitis

• Nostril asymmetry

These findings required both structural and functional correction.

✅ Surgical Plan

1. Complete Removal of Silicone Implant

All silicone material was removed to eliminate inflammation and extrusion risk.

2. Debridement of Damaged Tissue

Inflamed and weakened tissue was carefully treated to prepare for reconstruction.

3. Septal Reconstruction

Reconstruction of septal support to restore structural stability.

4. Rib Cartilage Reconstruction

Autologous cartilage used to rebuild nasal framework and ensure long-term support.

5. Nasal Tip and Structural Refinement

Reconstruction of nasal tip for a natural contour and balanced appearance.

6. Functional Correction

Septoplasty and rhinitis treatment to improve airway and reduce symptoms.

✅ Surgical Results

Frontal View

• Improved symmetry

• Natural nasal contour

• Resolution of extrusion

Before (Left) / Immediately After (Right)

Lateral View

• Improved nasolabial angle

• Balanced nasal profile

• Stable tip structure

Before (Left) / Immediately After (Right)

Oblique View

• Smooth contour

• Improved projection

Before (Left) / Immediately After (Right)

Nasal Base View

• Improved nostril symmetry

• Stable columella structure

Before (Left) / Immediately After (Right)

Functional Outcome

• Reduced nasal discharge

• Improved breathing

• Decreased rhinitis symptoms

✅ Surgeon’s Commentary

Silicone extrusion is a serious complication that typically occurs after long-term implantation.

The underlying issue is not only the implant itself but also the structural damage and tissue thinning it causes.

In these cases, complete removal of the implant is essential.

Reconstruction using autologous cartilage provides a stable framework that reduces the risk of recurrence.

Functional correction is equally important. Chronic rhinitis and airway obstruction must be addressed to restore normal nasal function.

Closed rhinoplasty Korea allows precise reconstruction while minimizing additional tissue damage.

If you are considering revision rhinoplasty after implant complications, a structural approach is critical for long-term stability.

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✅ FAQ

Q1. Why does silicone extrusion occur after many years?

Long-term pressure from implants can thin the skin and lead to eventual extrusion.

Q2. Is removal of silicone always necessary?

Yes, in extrusion cases, complete removal is essential to prevent infection and further damage.

Q3. What material is used after removal?

Autologous cartilage is preferred for stable and long-term reconstruction.

🎥 YouTube Reference

If you’re curious about Dr. Cha-Young Kang’s closed rhinoplasty approach, click to watch the video.

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