Emergency Revision Rhinoplasty Due to Imminent Silicone Exposure – Autologous Cartilage Reconstruction Case Review

noselab
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최종 수정일: 9월 26일

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

Today, I’m sharing a case of emergency revision rhinoplasty due to the imminent exposure of a silicone implant.

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

Case Background and Patient History

3 years ago: Dissolving filler injection
2 years ago: Septoplasty with silicone implant insertion
8 months post-op: Signs of inflammation treated with medication

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

Diagnosis Before the Emergency Revision Rhinoplasty

a. Skin Condition

Redness at the nasal tip
Silicone implant nearly breaking through the skin
Skin thinning at the tip

b. External Appearance

Nostril exposure from the front
High radix
Upturned nasal tip
Asymmetrical nostrils

c. Endoscopic Findings

Septal deviation to the left
Enlarged inferior turbinates on both sides
Adhesion of left nasal mucosa

Endoscopic and intraoperative images for emergency revision rhinoplasty: mucosal adhesion observed in the left nasal cavity and inflamed tissue during implant removal. — Nasal Endoscopy Photo (Left) / Intraoperative Observation of Mucosal Adhesion in the Left Nasal Cavity (Right)

Surgical Plan and Emergency Reconstruction Procedure

a. Emergency Measures

Immediate removal of the silicone implant
Thorough debridement of inflamed and damaged tissue

Intraoperative view during emergency revision rhinoplasty showing silicone implant nearly protruding through the nasal tip skin. — This photo shows the silicone implant extending just beneath the nasal tip skin, indicating that it was on the verge of protruding through.

b. Autologous Reconstruction

Nasal tip rebuilt using autologous cartilage
Dermal graft placed to reinforce thinning skin
Preventive antibiotic treatment initiated

c. Aesthetic Corrections

Corrected the upturned tip
Aligned the nostrils for symmetry
Smoothed the nasal bridge
Adjusted nasolabial angle for balance

Postoperative Outcome of Emergency Revision Rhinoplasty

Before and immediately after emergency revision rhinoplasty: frontal view showing correction of nasal tip exposure and nostril asymmetry. — Before (Left) / Immediately After (Right)

a. Frontal View

Reduced nostril visibility
Natural bridge height and stable tip position
Symmetry restored

Before (Left) / Immediately After (Right)

b. Side View

Softened radix for a smoother profile
Defined and lifted nasal tip
Harmonious overall side profile

Oblique angle before and immediately after emergency revision rhinoplasty: improved nasal tip definition, correction of implant exposure risk, and refined nasal contour. — Before (Left) / Immediately After (Right)

c. Skin Recovery

Redness resolved
Improved skin quality with dermal graft
Healthy skin regeneration achieved

Basal view before and immediately after emergency revision rhinoplasty: correction of nostril asymmetry, improved columella support, and resolved implant exposure risk. — Before (Left) / Immediately After (Right)

Expert Commentary on Emergency Revision Rhinoplasty

This emergency revision rhinoplasty was necessary to prevent implant exposure, which could have caused severe damage. The rapid intervention — combining implant removal, cartilage reconstruction, and dermal grafting — resulted in both functional and aesthetic recovery.

The key issue, thinning skin from prior surgery, was successfully resolved through autologous tissue techniques.It’s critical to monitor and act quickly when implants begin to show signs of complications.