L-Shaped Silicone Implant Revision – Safe and Functional Structural Correction

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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

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

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

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:

Corrected triangular nostrils
Improved symmetry and reduced visibility
Natural contour restored

Before Surgery (Left) / Immediately After Surgery (Right)

Side View:

Lower radix with balanced nasal line
Improved nasolabial angle and profile

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)

👨‍⚕️ Expert Commentary on L-Shaped Silicone Implant Revision

Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after revision rhinoplasty: nostril view showing improved nostril symmetry and reduced nostril show with internal packing visible. — Immediately after surgery: Nostril view photos.

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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