Septal Reconstruction Using Autologous Rib Cartilage After Medpor Removal

noselab
2일 전
3분 분량

— NoseLab Plastic Surgery

Hello, this is Dr. Cha-Young Kang, Chief Director of NoseLab Plastic Surgery in Seoul.

Today’s case presents a complex revision rhinoplasty involving Medpor removal and complete septal reconstruction using autologous rib cartilage.The patient came to our clinic suffering from nasal obstruction and aesthetic imbalance caused by a previously inserted Medpor implant.

Understanding the Patient’s Condition and the Impact of Medpor

Preoperative consultation photos before Medpor removal — frontal, left oblique, and left side views showing nasal deviation and Medpor-related contour irregularities. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

10 years ago: Primary rhinoplasty using silicone and cartilage
Medpor was used for septal extension
Current symptoms: Nasal obstruction (left > right) and chronic rhinitis

While Medpor implants may appear convenient initially, they can cause long-term

complications such as inflammation, infection, or extrusion.Because of these risks, I do not recommend Medpor for structural nasal support, particularly in the septum.

Preoperative consultation photos before Medpor removal — right side, right oblique, and nostril view showing nasal deviation and septal irregularity caused by Medpor. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Safe Medpor Removal and Septal Reconstruction

1️⃣ Complete Removal of Medpor

The Medpor implant had adhered tightly to the surrounding tissue, weakening the septal structure.

It was fully removed under microscopic visualization to minimize mucosal damage and prevent postoperative scarring.

Medpor Implant Removal Video

2️⃣ Septal Reconstruction Using Autologous Rib Cartilage

After removing Medpor, the septum was rebuilt entirely with the patient’s rib cartilage.

This provided strong, biologically compatible support and eliminated the risk of foreign-body reaction.

3️⃣ Alar Cartilage Reconstruction

Both alar cartilages were severely damaged and partially absent.

They were reconstructed using rib cartilage to create a natural nasal tip line and restore stability.

Functional Restoration After Medpor Removal

In addition to the structural correction, the patient also experienced nasal obstruction and rhinitis.To restore proper breathing, we performed:

Septoplasty for deviated septum correction
Submucosal resection of the inferior turbinates using radiofrequency laser
Adhesiolysis for intranasal scar release

After Medpor removal, nasal airflow was immediately improved, and rhinitis symptoms subsided significantly.

Aesthetic Refinement and Facial Balance

To enhance overall harmony, the bridge starting point was lowered and softened, and the nasolabial angle was refined.

This adjustment reduced the appearance of a protruding mouth and created a balanced, natural profile.

Surgical Outcome – Safe Recovery and Lasting Stability

Before and immediately after Medpor removal and septal reconstruction — frontal view showing correction of asymmetry and restoration of nasal alignment. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after Medpor removal and septal reconstruction — nostril view showing improved symmetry and restored internal structure. — Before Surgery (Left) / Immediately After Surgery (Right)

Functional Results

Clear nasal breathing restored after Medpor removal
Noticeable improvement in rhinitis symptoms
Stable septal framework without recurrence of obstruction

Before and immediately after Medpor removal and rib cartilage reconstruction — side view showing smoother nasal line and improved columellar contour. — Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Results

Natural and elegant columella line
Reduced mouth projection and better midface balance
Smooth nasal bridge with refined tip definition

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

Expert Insight on Medpor Removal

This case highlights the importance of choosing safe, biological materials for nasal support.

While Medpor can initially maintain shape, over time it may weaken surrounding tissues or cause inflammatory complications.

For revision rhinoplasty cases, autologous rib cartilage remains the gold standard for Medpor removal and septal reconstruction.

Though harvesting rib cartilage requires surgical precision, it ensures long-term durability, zero rejection risk, and natural integration with the body’s tissues.

At NoseLab Plastic Surgery, we specialize in closed rhinoplasty techniques that prioritize both structure and beauty—safely restoring balance and confidence.

Thank you for reading. — Dr. Cha-Young Kang, NoseLab Plastic Surgery