Rib Cartilage Reconstruction to Correct 40-Year-Old Silicone Deformity and Nasal Pain

noselab
3월 8일
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최종 수정일: 9월 26일

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

Today, I’m sharing the case of a patient suffering from nasal deformity, pain, and breathing difficulty caused by silicone implants inserted 40 years ago. Through rib cartilage reconstruction, we restored both functionality and natural aesthetics.

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

Pre-operative design consultation images of female patient from right side, oblique, and nostril views for rib cartilage revision rhinoplasty at Nose Lab Clinic. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Patient’s Surgical History and Symptoms

40 years ago: L-shaped silicone implant
5 years ago: Septal cartilage graft + silicone replacement
Complaints: Right-sided nasal obstruction, columella deviation, high radix, pain, and short nose appearance

2. Goals of Rib Cartilage Reconstruction

Improve nasal function and airflow
Remove old silicone implants causing complications
Correct asymmetry and achieve a natural tip with moderate projection
Balance facial proportions by lowering the radix

3. Surgical Plan Using Rib Cartilage

a. Functional Enhancements

Septoplasty
Radiofrequency turbinoplasty
Rib cartilage graft to reinforce structure

b. Structural & Aesthetic Refinement

Columella realignment
Nostril symmetry correction
Lowering radix
Natural nasolabial angle correction

4. Rib Cartilage Reconstruction Outcomes

Before and immediately after rib cartilage revision rhinoplasty: frontal view comparison of a female patient at Nose Lab Clinic — Before (Left) / Immediately After (Right)

a. Frontal View

Balanced nostrils
Refined nasal height
Softened facial expression

Before (Left) / Immediately After (Right)

b. Side Profile

Smooth dorsal line
Lower, natural radix
Improved nasolabial angle

Oblique side view comparison before and immediately after rib cartilage revision rhinoplasty at Nose Lab Clinic, correcting nasal asymmetry and radix height — Before (Left) / Immediately After (Right)

c. Functional Results

Pain relief
Better breathing
Long-term structural support

Frontal nostril view comparison before and immediately after rib cartilage reconstruction at Nose Lab Clinic, showing improved symmetry and columella alignment. — Before (Left) / Immediately After (Right)

5. Expert Insights on Rib Cartilage Reconstruction

This case demonstrates how rib cartilage reconstruction can resolve complications from long-standing silicone implants. By removing all foreign materials and rebuilding the nasal framework, we achieved a stable, functional, and beautiful result.