Unexpected Foreign Material Removal with Rib Cartilage Reconstruction – Revision Case Study

noselab
3월 10일
2분 분량

최종 수정일: 9월 26일

[Nose Lab Clinic]

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

Today, I am sharing a unique revision rhinoplasty case that involved unexpected foreign material removal and rib cartilage reconstruction. This patient, who believed they had only undergone nostril reduction, was found to have hidden Medpor and other unknown substances during surgery.

Design consultation photos showing the patient's frontal, left side, and oblique side views before foreign material removal and revision rhinoplasty using rib cartilage. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design consultation photos showing the patient’s right side, oblique side, and nostril view prior to foreign material removal and rib cartilage reconstruction surgery. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Surgical History and Patient Background

Multiple filler injections for nasal contouring
Nostril reduction surgery (patient unaware of any implants or additional procedures)

2. Unexpected Findings During Foreign Material Removal

Severe scar tissue and adhesion
Undisclosed Medpor implant for septal extension
Unabsorbed synthetic material in the glabella (between the eyebrows)
Nylon sutures securing nasal tip cartilage

Removed Medpor implant, nylon sutures, and other unidentified foreign materials laid out on surgical gauze after revision rhinoplasty. — Photos of Removed Medpor, Nylon Sutures, and Foreign Materials

3. Surgical Plan and Foreign Material Extraction Approach

a. Foreign Material Removal

Complete removal of Medpor
Extraction of glabellar foreign material
Removal of nylon sutures
Deep cleansing of residual substances

b. Rib Cartilage Reconstruction

Autologous rib cartilage graft for septal support
Lateral osteotomy for nasal bone alignment
Dorsal and tip refinement for natural shape

c. Structural Refinement

Strengthening nasal framework
Creating a smooth nasal bridge transition
Improving nasal proportions

4. Postoperative Results – After Foreign Material Removal

Frontal comparison of patient before (left) and immediately after (right) revision rhinoplasty, showing improved nasal structure and facial symmetry. — Before (Left) / Immediately After (Right)

a. Frontal View

Reduced nostril exposure
Corrected flaring and width
Slimmer nasal bridge
Enhanced balance and symmetry

Before (Left) / Immediately After (Right)

b. Side Profile

Improved projection
Harmonized nasolabial angle
Smooth dorsal line
Soft and natural profile

Oblique side view comparison of patient before (left) and immediately after (right) rib cartilage reconstruction and foreign material removal, showing enhanced nasal tip refinement and improved facial harmony. — Before (Left) / Immediately After (Right)

c. Nostril & Tip Refinement

Better symmetry and tip definition
Natural nostril shape
Overall improvement in nasal aesthetics

Nostril base view showing before (left) and immediately after (right) foreign material removal and rib cartilage reconstruction, highlighting improved nostril symmetry and tip definition. — Before (Left) / Immediately After (Right)

5. Expert Insights on Foreign Material Removal in Rhinoplasty

Postoperative frontal, side, and oblique view of a patient immediately after foreign material removal and rib cartilage reconstruction, showing improved nasal projection and tip refinement. — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Close-up nostril view immediately after surgery showing refined nostril shape and improved symmetry following foreign material removal and rib cartilage reconstruction. — Immediately After Surgery: Nostril View Photos

This was a highly complex case involving the removal of unexpected foreign material, including Medpor and synthetic debris. These had caused adhesions and unnatural nasal structure. Through careful planning and rib cartilage reconstruction, we successfully restored nasal structure and aesthetics.

👉 This case highlights the importance of precise evaluation and expert hands when unknown prior surgeries are involved.

Thank you for reading.

At Nose Lab, all surgeries are performed via the closed (endonasal) approach.