Secondary Rhinoplasty After Silicone Removal Using Rib Cartilage – Achieving a Feminine and Balanced Nose

noselab
3월 31일
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최종 수정일: 9월 26일

[Nose Lab Clinic]

1.Surgical Background – Why Secondary Rhinoplasty After Silicone Removal Was Needed

This case focuses on secondary rhinoplasty after silicone removal, performed on a patient who had undergone multiple nasal surgeries over the past 30 years. The most recent procedure involved the removal of a long-standing silicone implant, which had left the nose widened and structurally compromised.

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

2. Initial Assessment – Post-Silicone Removal Nasal Condition

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Frontal View

Bulbous nasal tip
Mild nasal deviation
Pinched alar base
Widened nasal bridge due to implant removal

Side Profile

Undefined, droopy nasal tip
Depressed dorsum
Slightly protruding mouth
Small nasolabial angle

Nostril View

Noticeable asymmetry
Structural imbalance in alar base and nostrils

3. Patient’s Goals in Secondary Rhinoplasty After Silicone Removal

✔ Correct nasal deviation

✔ Achieve a refined, feminine tip

✔ Improve nostril symmetry

✔ Shorten the appearance of the nose (avoid over-projection)

4. Functional Symptoms

Chronic rhinitis
Frequent nasal itching

Preoperative nasal endoscopy images showing both right and left nasal passages, used for assessment before secondary rhinoplasty after silicone removal. — Nasal Endoscopy Photos

5. Surgical Plan – Strategy for Secondary Rhinoplasty After Silicone Removal

Structural Reconstruction

Rib cartilage graft for foundational support
Correction of deviated nasal axis
Use of silicone implant for dorsal augmentation

Tip Refinement

Reduction of bulbous tip
Creation of a more feminine and defined nasal tip
Correction of the pinched alar area

Nostril and Base Adjustment

Symmetry correction of nostrils
Balancing overall nasal proportions
Enhancing the nasolabial angle for a natural profile

6. Postoperative Outcomes

Frontal View

Straighter nasal bridge
Softer and more refined nasal tip
Balanced nasal structure

Before (Left) / Immediately After (Right)

Side Profile

Natural dorsal height
Feminine and elegant tip definition
Harmonized nasolabial angle

Oblique side view comparison before and immediately after secondary rhinoplasty, highlighting improved nasal projection and symmetrical nostrils. — Before (Left) / Immediately After (Right)

Nostril View

Improved symmetry
Smoothed curvature and natural contour

7. Expert Insight – Key Points in Secondary Rhinoplasty After Silicone Removal

Immediately after secondary rhinoplasty: Frontal, 45-degree oblique, and side view photos showing improved nasal tip definition and feminine nasal contour. — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately after secondary rhinoplasty: Nostril base view showing correction of asymmetry and improved nostril shape. — Immediately After Surgery: Nostril View Photos

This was a challenging case of secondary rhinoplasty after silicone removal, as the patient had undergone several previous surgeries. The biggest concerns were structural instability, tip refinement, and asymmetry correction after the implant had been removed.

By combining autologous rib cartilage and a carefully selected silicone implant, we were able to reconstruct the nasal framework, correct alignment, and produce a naturally refined, feminine nasal shape.

Nose Lab Clinic performs all surgeries using a closed (scarless) approach.