Mesh Removal Rhinoplasty – Achieving a Naturally Subtle Nose

noselab
2024년 10월 26일
2분 분량

최종 수정일: 9월 29일

Mesh Removal Rhinoplasty: Achieving a Naturally Subtle Nose with Precision

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic. Today, I’d like to share a case of mesh removal rhinoplasty, highlighting how we restored a patient’s natural beauty after complications caused by mesh.

Patient’s Initial Condition Before Mesh Removal Rhinoplasty

A young woman in her twenties came to our clinic, having previously undergone rhinoplasty in 2018. Her initial surgery involved septal cartilage, mesh insertion, and osteotomy. This time, she wanted a refined, “presence-free” nose that looked natural and harmonious.

Pre-surgery design consultation photos for mesh removal rhinoplasty: frontal view and both side views showing bulbous nasal tip and asymmetry. — Pre-Surgery Design Consultation: Frontal View and Both Side Views

Broad and bulbous nasal tip
Wide nasal bridge
Nostril asymmetry
High nasion with blunt nasal tip
Slightly drooping columella

Surgical Plan for Mesh Removal Rhinoplasty

To address these concerns, we developed a detailed plan:

Lateral osteotomy to narrow the nasal width
Bridge height adjustment for better facial proportion
Tip refinement with alar cartilage repositioning and suture
Nostril asymmetry correction with septal reconstruction and rib cartilage extension
Nasolabial angle correction with subtle dorsal augmentation using rib cartilage

Intraoperative Findings – Mesh Removal Challenges

During surgery, we discovered four pieces of mesh (two on each side) firmly adhered to surrounding tissue. This required delicate dissection to minimize trauma.

Additionally, the septal cartilage had been severely damaged in the previous surgery, making rib cartilage reconstruction essential.

Removed mesh fragments from previous nasal surgery, extracted during mesh removal rhinoplasty. — Photos of Removed Mesh Fragments

Post-Surgical Results of Mesh Removal Rhinoplasty

Despite the complexity, the results were highly satisfying:

Refined nasal tip instead of a blunt appearance
Smooth, natural nasal bridge line
Lowered nasion for balanced facial proportions
Corrected columella for a harmonious profile

Before and after mesh removal rhinoplasty: frontal view showing refined nasal tip and improved balance — Before Surgery (Left) / Immediately After Surgery (Right)

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

Before and after mesh removal rhinoplasty: side view showing natural dorsal line and improved nasal tip projection — Before Surgery (Left) / Immediately After Surgery (Right)

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

Key Takeaway – Risks of Mesh in Rhinoplasty

This case demonstrates the risks of using mesh for nasal tip augmentation. Mesh often causes inflammation and contraction, making revision difficult. Mesh removal rhinoplasty requires advanced surgical skill, highlighting the importance of choosing safe, proven materials.

Final Thoughts

For patients considering rhinoplasty, especially revision cases, it is essential to consult with an experienced surgeon who prioritizes safety and natural results. At Nose Lab Clinic, we provide customized surgical solutions using safe techniques and autologous cartilage.

Thank you,

Dr. Cha-Young Kang, Director of Nose Lab Clinic

Nose Lab Clinic performs all procedures through closed rhinoplasty techniques.