Secondary Rhinoplasty After Silicone Removal – Feminine Nasal Tip Refinement

[Nose Lab Clinic]

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

Today, I would like to introduce a case of secondary rhinoplasty following the removal of a long-standing silicone implant. This patient experienced significant structural changes after implant removal and sought correction for nasal asymmetry and enhancement of a more feminine, refined tip shape.

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

1. Surgical History

✔ 30 years ago: Silicone implant + auricular cartilage graft + alar base reduction

✔ 15 years ago: Secondary rhinoplasty (silicone implant replacement)

✔ 4 years ago: Silicone implant removal

2. Initial Assessment

a. Frontal View

✔ Bulbous nasal tip

✔ Mild nasal deviation

✔ Pinched alar region

✔ Widened nasal bridge after implant removal

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

b. Side Profile

✔ Bulbous, undefined nasal tip

✔ Depressed nasal dorsum

✔ Slightly protruding mouth appearance

✔ Small nasolabial angle

c. Nasal Base (Nostril View)

✔ Significant nostril asymmetry

✔ Overall imbalance in nasal structure

3. Patient’s Goals

✔ Correction of nasal deviation

✔ Feminine and elegant nasal shape

✔ Improvement of nostril symmetry

✔ Shorter nasal appearance (not elongated or overly defined)

4. Additional Symptoms

Nasal Endoscopy Photos

✔ Chronic rhinitis

✔ Frequent nasal itching

5. Surgical Plan & Execution

a. Structural Reconstruction

✔ Rib cartilage graft (autologous) for structural support

✔ Correction of nasal deviation

✔ Silicone implant for refined dorsum augmentation

b. Tip Refinement

✔ Reduction of bulbous tip

✔ Formation of a feminine, well-defined nasal tip

✔ Correction of pinched alar area

c. Nostril & Alar Base Adjustment

✔ Correction of nostril asymmetry

✔ Balancing the overall nasal proportions

✔ Adjustment of nasolabial angle for a natural and harmonious profile

6. Post-Surgical Outcomes

Before (Left) / Immediately After (Right)

a. Frontal View

✔ Straightened nasal bridge

✔ Refined and softened nasal tip

✔ Balanced nasal proportions

Before (Left) / Immediately After (Right)

b. Side Profile

✔ Subtle yet elegant dorsal height

✔ Defined and refined nasal tip shape

✔ Harmonized nasolabial angle (mild improvement in mouth projection)

Before (Left) / Immediately After (Right)

c. Nostril View

✔ Improved nostril symmetry

✔ Balanced curvature and natural shape

Before (Left) / Immediately After (Right)

7. Expert Insights

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This case was particularly complex due to multiple previous surgeries, including a 30-year-old silicone implant that was removed four years prior. The main challenges included:

✔ Addressing the widened and collapsed nasal bridge after implant removal

✔ Refining the nasal tip for a feminine and natural result

✔ Correcting nasal asymmetry while ensuring structural stability

Using a combination of rib cartilage grafting and a carefully selected silicone implant, we achieved both structural integrity and aesthetic enhancement. The final result was a naturally refined, elegant nasal shape that aligned with the patient’s preferences.

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

Thank you.

https://blog.naver.com/cykang/223793723425