Repeated Dermal Absorption Nose Revision – Restoring Function and Aesthetics

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Repeated Dermal Absorption Nose Revision Case Overview

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

Today, I’d like to share the story of a patient who endured multiple revision surgeries due to ongoing dermal absorption, ultimately finding a lasting solution through Repeated Dermal Absorption Nose Revision at our clinic. This case highlights how persistent structural and aesthetic issues from prior surgeries can be resolved with precision and expertise.

1. Surgical History in Repeated Dermal Absorption Nose Revision

15 years ago: L-shaped silicone implant (caused contracture, pinched tip, and nasal redness).
14 years ago: Silicone with ear cartilage (to address thin nasal skin).
11 years ago: Silicone, autologous dermis, ear cartilage, and septal cartilage.
10 years ago: Silicone with donor rib cartilage.
8 years ago: Scalp fascia, postauricular dermis, and gluteal dermis.
2 years ago: Scalp fascia, postauricular dermis, and gluteal dermis.
15 years ago: Filler injection (removal planned during surgery).

The patient reported worsened left-sided nasal obstruction and aesthetic dissatisfaction due to ongoing changes in her nasal structure.

2. Patient Concerns in Repeated Dermal Absorption Nose Revision

Repeated Dermal Absorption Nose Revision – Preoperative Right Oblique, Side, and Frontal View Photos — Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

Recurring dermal absorption leading to nasal deformity.
Significant nasal tip depression caused by repeated surgeries.
Frustration with the repeated need for revisions.
A desire for a natural and stable nasal contour.

Repeated Dermal Absorption Nose Revision – Preoperative Right Oblique, Side, and Nostril View Photos — Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

3. Patient Goals for Repeated Dermal Absorption Nose Revision

A stable nasal structure free from dermal absorption issues.
A natural-looking tip without excessive projection.
Avoiding an overdone or “artificial” appearance.
Sufficient volume and structure for a balanced aesthetic.
Long-lasting results.
Improved nostril asymmetry and refined alar placement.
A rounded, non-pointed nasal tip.

Repeated Dermal Absorption Nose Revision – Patient reference board showing preferred and disliked nose shapes for surgical design at Nose Lab Clinic. — 1. Nose the Patient Likes 2. Nose the Patient Dislikes

4. Preoperative Analysis

a. Frontal View

Visible asymmetry from dermal absorption.
Pinched nasal tip due to contracture.
Deviated nasal bridge.
Excessive nostril visibility and asymmetry.

b. Side View

High radix (nasal starting point).
Over-rotated nasal tip with a large nasolabial angle.
Unnatural contour.

c. Nostril View

Severe asymmetry.
Deviated columella leaning rightward.
Scar tissue visible in the right nostril.

5. Surgical Plan & Execution in Repeated Dermal Absorption Nose Revision

a. Structural Reconstruction

Complete reconstruction of the severely damaged nasal septum using autologous rib cartilage.
Restoration of the collapsed alar cartilages with precise grafting.
Nostril extension surgery for proper alignment and balance.

b. Volume Enhancement

Efficient reuse of existing autologous dermal tissue to minimize absorption risk.
Reinforcement around grafts for durability and support.
Overall volume enhancement to achieve a balanced profile.

c. Functional Improvement

Septoplasty and reconstruction for deviated septum.
Optimization of nasal airflow for improved breathing.

6. Surgical Outcomes of Repeated Dermal Absorption Nose Revision

Repeated Dermal Absorption Nose Revision – Before (Left) and Immediately After Surgery (Right) Frontal View — Before (Left) / Immediately After (Right)

a. Frontal View

Significantly reduced nostril visibility.
Corrected asymmetry with a smooth and natural bridge.
Proper alignment of the nasal tip and base.

Repeated Dermal Absorption Nose Revision – Before (Left) and Immediately After Surgery (Right) Side View — Before (Left) / Immediately After (Right)

b. Side View

Lowered nasal starting point for a softer contour.
Tip depression corrected for a natural downward projection.
Improved nasolabial angle for a harmonious facial profile.

Repeated Dermal Absorption Nose Revision – Before (Left) and Immediately After Surgery (Right) Right Oblique Side View — Before (Left) / Immediately After (Right)

c. Nostril View

Straightened columella.
Balanced nostril sizes with improved symmetry.
Refined nostril shape without visible scars.

Repeated Dermal Absorption Nose Revision – Before (Left) and Immediately After Surgery (Right) Nostril View — Before (Left) / Immediately After (Right)

7. Expert Insights – Overcoming Repeated Dermal Absorption in Nose Revision

Repeated Dermal Absorption Nose Revision – Immediately After Surgery, Frontal, Side, and Oblique Side Views — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Repeated Dermal Absorption Nose Revision – Immediately After Surgery, Nostril View — Immediately After Surgery: Nostril View Photos

Recurrent dermal absorption and contracture from multiple revision surgeries present significant challenges in nasal reconstruction.This case required meticulous adherence to the following principles:

Complete removal of damaged and unstable tissue.
Reconstruction with stable and durable autologous materials.
Comprehensive correction of both functional and aesthetic issues.

By focusing on creating a robust structural foundation and minimizing future risks, we achieved a natural and stable result that meets the patient’s goals.

8. Closing Remarks

At Nose Lab Clinic, we listen carefully to each patient’s concerns and deliver tailored, lasting solutions. For patients who have suffered from repeated dermal absorption and unsuccessful revisions, Repeated Dermal Absorption Nose Revision offers a way to restore both function and aesthetics with precision and care.

Nose Lab Clinic performs all surgeries using a closed (non-open) approach.