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Introduction to the L-Shaped Silicone Implant Revision Case


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


Today, I will discuss a revision rhinoplasty case where a patient underwent L-shaped silicone implant revision, correcting functional issues and restoring a natural nasal structure.

Preoperative assessment for L-Shaped Silicone Implant Revision – Right side, oblique, and nostril view showing upturned tip and nostril asymmetry.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
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Preoperative views before L-Shaped Silicone Implant Revision – Frontal, left profile, and oblique views showing nasal tip upturn and nostril asymmetry.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
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Patient History and Concerns

📍 Surgical History

  • 13 years ago: Filler injection

  • 13 years ago: First rhinoplasty (silicone + ear cartilage)

  • 6 years ago: Revision with L-shaped silicone implant

  • 5 years ago: Additional revision due to persistent swelling


🔎 Initial Concerns

1. Functional Problems

  • Nasal congestion and alternating obstruction

  • Difficulty breathing

  • Chronic runny nose

Nasal endoscopy images showing right and left nasal passages before revision rhinoplasty.
Nasal Endoscopy Photos
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2. Structural Issues

  • Over-rotated, upturned tip

  • Triangular and asymmetric nostrils

  • High radix creating unnatural appearance


Surgical Plan – Focused L-Shaped Silicone Implant Revision

💉 Key Procedures

1. Nostril Correction

  • Cartilage grafting to reinforce internal support

  • Skin grafting to improve nostril shape

  • Tip rotation correction to reduce nostril show


2. Upturned Nose Correction

  • Lowering the radix

  • Balancing nasal projection for facial harmony


3. Functional Restoration

  • Septoplasty for deviated septum

  • Treatment of hypertrophic rhinitis

  • Improved airflow and nasal comfort


Surgical Outcome After L-Shaped Silicone Implant Revision

✅ Results Overview

Frontal view comparison before surgery (left) and immediately after revision rhinoplasty (right), showing improved nostril shape and nasal symmetry.
Before Surgery (Left) / Immediately After Surgery (Right)
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Frontal View:

  • Corrected triangular nostrils

  • Improved symmetry and reduced visibility

  • Natural contour restored

Side profile comparison before surgery (left) and immediately after revision rhinoplasty (right), showing lowered radix and corrected upturned nasal tip.
Before Surgery (Left) / Immediately After Surgery (Right)
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Side View:

  • Lower radix with balanced nasal line

  • Improved nasolabial angle and profile

Oblique side view comparison before surgery (left) and immediately after revision rhinoplasty (right), showing improved nasal projection and reduced nostril exposure.
Before Surgery (Left) / Immediately After Surgery (Right)
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Functional:

  • Reduced nasal discharge

  • Easier breathing

  • Stable septum structure

Nostril view before surgery (left) and immediately after revision rhinoplasty (right), showing correction of nostril asymmetry and reduced nostril show.
Before Surgery (Left) / Immediately After Surgery (Right)
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👨‍⚕️ Expert Commentary on L-Shaped Silicone Implant Revision

Immediately after revision rhinoplasty: frontal view, right side view, and oblique side view showing corrected nasal profile, improved nostril symmetry, and lowered radix.
Immediately after surgery: Frontal view, side view, and oblique side view photos.
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Immediately after revision rhinoplasty: nostril view showing improved nostril symmetry and reduced nostril show with internal packing visible.
Immediately after surgery: Nostril view photos.
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In this case, the patient had multiple surgeries over 13 years.

The most critical issue was the inappropriate L-shaped silicone implant, which caused over-rotation, nostril exposure, and functional discomfort.

We reconstructed the nasal structure using autologous rib cartilage and I-shaped grafts, restoring both aesthetics and function.

Functional correction was achieved through septoplasty and treatment for chronic rhinitis, significantly improving breathing.

At Nose Lab Clinic, all rhinoplasty procedures are performed using the closed technique only.





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