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L-Shaped Implant Revision Using Rib Cartilage and I-Shaped Implant

  • noselab
  • 4월 12일
  • 2분 분량

최종 수정일: 9월 25일

[Nose Lab Clinic]


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


Today, I will discuss a case of L-Shaped Implant Revision involving the removal of an unsuitable silicone implant and structural reconstruction using autologous rib cartilage and an I-shaped implant.

Preoperative rhinoplasty consultation photos showing the patient’s right side view, oblique side view, and nostril view for surgical planning.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
Preoperative rhinoplasty consultation photos showing the patient’s frontal view, left side view, and oblique side view to evaluate nasal shape and asymmetry.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

📍 Patient Background and Implant History

Surgical History

  • 10 years ago: Primary rhinoplasty with septal and ear cartilage + I-shaped silicone implant

  • 6 months later: Revision surgery using an L-shaped silicone implant, which was a medically questionable choice


🔎 Initial Assessment Before L-Shaped Implant Revision

Frontal View

  • Upturned nose

  • Deviated nasal bridge

  • Narrow nasal bridge


Side Profile

  • High radix

  • Small nasolabial angle

  • Drooping nasal tip


Nostril View

  • Asymmetrical nostrils

  • Rightward-deviated columella


✨Patient’s Requests

  • Correction of upturned nose

  • Create a straight nasal profile

  • Lower the starting point (radix)

  • Improve the nasolabial angle

  • Correct nostril asymmetry

Photos of the patient’s desired nose shape, referencing celebrity images for surgical consultation and aesthetic goal setting.
The Desired Images of the Patient

💉 L-Shaped Implant Revision Plan and Procedure

Safe Structural Reconstruction

  • Complete removal of the L-shaped implant

  • Rebuilding the tip using autologous rib cartilage

  • Replacing the dorsal implant with a safe I-shaped implant


Removed L-shaped silicone implant previously used in revision rhinoplasty, placed on a wooden surface for documentation.
Removed L-Shaped Implant

 Functional & Aesthetic Improvements

  • Lowered radix

  • Corrected columella deviation and upturned tip

  • Improved nasal symmetry and nasolabial balance



✅ Results After L-Shaped Implant Revision

Frontal view comparison of the patient's nose before (left) and immediately after (right) revision rhinoplasty, showing improved nasal shape and tip projection.
Before (Left) / Immediately After (Right)

Frontal View

  • Natural appearance with lowered radix

  • Corrected asymmetry

  • Straightened bridge

Side view comparison of the patient before (left) and immediately after (right) revision rhinoplasty, showing corrected nasal starting point and improved nasal tip projection.
Before (Left) / Immediately After (Right)

Side View

  • Smooth, rectilinear profile

  • Balanced nasolabial angle

  • Refined nasal tip

Oblique side view comparison of the patient before (left) and immediately after (right) revision rhinoplasty, highlighting improved nasal tip definition and smoother nasal bridge.
Before (Left) / Immediately After (Right)

Nostril View

  • mproved nostril symmetry

  • Repositioned columella

  • Better nasal tip definition

Nostril view comparison of the patient before (left) and immediately after (right) revision rhinoplasty, showing correction of nostril asymmetry and columella deviation.
Before (Left) / Immediately After (Right)

Why L-Shaped Implants Are Risky

  • Higher Risk of Complications – Infection, extrusion, or tip deformity

  • Unnatural Feel – Silicone does not integrate like cartilage

  • Long-Term Pressure – Can thin the skin and compromise nasal shape


👨‍⚕️ Expert Opinion

Immediately after revision rhinoplasty: frontal, side, and oblique side view showing corrected nasal tip projection, refined bridge, and improved nasolabial angle.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately after revision rhinoplasty: nostril view showing improved nostril symmetry and realigned columella with autologous rib cartilage graft.
Immediately After Surgery: Nostril View Photos













This case of L-Shaped Implant Revision shows why material selection is critical. The original structure using cartilage and I-shaped implant was ideal. The L-shaped revision introduced complications and instability.

Through autologous rib cartilage and proper technique, we restored both function and aesthetics.

At Nose Lab, all surgeries are performed using a closed rhinoplasty approach.

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