Mesh and Thread Removal _Rhinoplasty Korea

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today, we will introduce the revision rhinoplasty case of a patient who had previously gotten surgery using thread and mesh on the nose bridge and tip. On November 2020, the patient underwent nasal bridge and tip surgery using mesh, but since her results were not satisfactory, she came to our hospital to fix them.

Preoperative Design Consultation

• Deviated nose bridge

• High glabella starting point

• A general non-balanced appearance

• Nasal hump

• Protruding mouth

• An overall long nose

• The nasal hump is more prominent

• Long nose

• Noticeable mouth protrusion

• Visible nostril asymmetry

• The left side of the nose tip looked pressed down

Surgical Details

​The following procedures were performed using a closed rhinoplasty approach:

​a) Removal of foreign bodies:

• Mesh and thread removal from the bridge and tip of the nose.

Photo of the foreign body removed (mesh and thread removal)

b) Nasal hump removal:

• The excessively protruding nasal hump was shaved.

​c) Lateral osteotomy:

• Osteotomy to correct the crooked nose.

​d) Autologous costal cartilage harvesting and transplantation:

• The patient’s costal cartilage was harvested to secure a sufficient amount of cartilage needed for nasal reconstruction.

• Nose tip reconstruction: Straightening of the nose using autologous costal cartilage, creating a natural shape that was not too pointy, as per request of the patient.

• Shaping the nose shape by using the autologous rib cartilage.

​e) Lowering the starting point:

• Lowering of the high starting point to adjust the overall length of the nose.

​f) Correction of the nasolabial angle:

• Correction of the nasolabial angle by slightly lowering the columella.

Before and After surgery photos

Frontal view before surgery (left) after surgery (right)

• Correction of the deviated nose bridge

• The previously high starting point became lower naturally

• We gave the wide nose tip a more sophisticated appearance

• The nose made the appearance look more balanced now.

Side profile view before surgery (left) after surgery (right)

• By correcting the nasal hump the side profile got a softer curve.

• The overall balance of the face improved by reducing the protruding mouth.

• Adjustment and reduction of the lenght of the nose.

45-degree angle view before surgery (left) after surgery (right)

• The nose shape looks more natural without the nasal hump.

• By reducing the lenght of the nose, the facial proportion became more balanced.

• The profile looks softer after reducing the protruding mouth visibility.

Nostrils before surgery (left) after surgery (right)

• There was a great improvement of the nostril asymmetry.

• The nostril shape became harmonious and more natural.

After surgery table photos

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Photo of the nostrils

Overview – Mesh and Thread Removal

​This case (mesh and thread removal) is a revision surgery after previously having used mesh for rhinoplasty. Since artificial materials such as mesh have a risk of deformation or foreign body reaction in the long term, revision surgery using autologous tissue is often necessary. In this surgery, we rebuilt the structure of the nose using autologous costal cartilage. By using autologous tissue, the risk of rejection is minimized and stable results can be maintained in the long term. In particular, by reconstructing both the tip and the bridge of the nose with autologous costal cartilage, we an create a natural but stable nose.

​The lateral osteotomy performed to correct the crooked nose played a major role in improving the symmetry of the nose. In addition, the appearance of the nose became softer through the nasal hump removal and the lowering of the starting point.

​By correcting the nasolabial angle, we were able to improve the appearance of the mouth protrusion, and it played an important role in improving the overall facial balance.

​By using a closed approach, we were able to shorten the postoperative recovery period and complete the surgery without leaving visible scars, which greatly contributed to increasing patient satisfaction.

I hope this case will provide hope to those who are concerned about the dissatisfaction with the results of rhinoplasty using artificial materials such as mesh or thread.

With Noselab Rhinoplasty Clinic you can achieve a beautiful and healthy nose.

Thank you.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.