Custom Revision Rhinoplasty for Foreign Body Complications: A Case Study from Nose Lab Clinic

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’d like to discuss a case of custom revision rhinoplasty for foreign body complications, where the patient presented with filler and thread materials that caused asymmetry and an unnatural appearance. This case highlights the importance of safe and customized revision surgery.

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

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

Patient Goals and Surgical History – Custom Revision Rhinoplasty for Foreign Body Complications

Patient Goals:

• Smooth out unnatural nasal bridge height

• Create a straight and balanced nasal line

• Correct cartilage protrusion in the left septum

• Improve overall nasal symmetry

Surgical History:

• 15 years ago: Ear cartilage graft, silicone implant, and nostril reduction

• 1 year ago & 1 month ago: Filler in the columella and threads in the bridge

Pre-Surgical Analysis – Identifying Issues Caused by Foreign Body Complications

Front View:

• Noticeable nasal bridge deviation

• Bulbous nasal tip with asymmetry

Side View:

• High starting point of the bridge at the glabella

• Drooping nasal tip with irregular dorsal contour

Nostril View:

• Asymmetrical nostrils

• Columella tilted to the left

• Protruding cartilage inside the left nostril

This analysis confirmed the need for custom revision rhinoplasty for foreign body complications.

Surgical Plan – Customized Steps for Safe Correction

To restore both aesthetics and structure, the surgical plan included:

• Complete Removal of Foreign Materials: All filler and threads were carefully removed.

• Septal Extension with Donor Rib Cartilage: Rebuilding stability with septal and donor rib cartilage.

• Alar Cartilage Repositioning and Suturing: Adjusting and suturing to support the tip and improve symmetry.

• Left Nostril Reconstruction: Repairing anticipated damage in the nostril and alar cartilage.

• Implant Replacement: Placing a smaller silicone implant to lower the starting point and refine the bridge.

This multi-step approach ensured safe and effective custom revision rhinoplasty for foreign body complications.

Removal of Sutures in the Alar (Nasal Wing)

Removal of Sutures in the Columella

Post-Surgical Results – Outcomes of Custom Revision Rhinoplasty for Foreign Body Complications

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

• Front View: Straighter bridge, reduced bulbous tip, and improved symmetry.

• Side View: Lower bridge starting point, refined dorsal contour, and elevated tip.

• Nostril View: Restored alignment, improved columella position, and corrected cartilage protrusion.

The results demonstrate how custom revision rhinoplasty for foreign body complications can successfully restore both form and function.

Immediately After Surgery: Frontal, Oblique Side, and Side Views

Immediately After Surgery: Nostril View Photos

Final Thoughts – Why Customized Revision Rhinoplasty is Essential

Excessive use of fillers and threads often leads to:

• Higher risk of infection

• Capsular contracture

• Cartilage damage

• Chronic inflammation

While threads and fillers provide short-term changes, repeated use may cause long-term complications. This case proves that custom revision rhinoplasty for foreign body complications is the safest and most effective way to achieve lasting results.

At Nose Lab Clinic, we always prioritize patient safety and natural outcomes.

👉 Nose Lab Clinic performs all surgeries using the closed rhinoplasty approach.

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