Silicone Implant Calcification Correction – Revision Rhinoplasty with Rib Cartilage in Korea

noselab
7월 14일
2분 분량

## Case Overview: Silicone Implant Calcification Correction

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

This revision rhinoplasty case involved a patient with a 30-year-old silicone implant that developed calcification, resulting in a dorsal hump and a crooked nose. A full silicone implant calcification correction was performed using autologous rib cartilage.

## Key Symptoms and Diagnosis

Preoperative photos before silicone implant calcification correction surgery – frontal, left oblique, and side views showing dorsal hump and nasal deviation caused by 30-year-old silicone capsule. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

### Chronic Functional and Aesthetic Issues

- Chronic rhinitis and breathing discomfort

- Dorsal hump due to calcified capsule

- Crooked nose and nasal tip drooping

### Capsule Calcification Findings

- Severe hardening of the silicone capsule

- Deformation and asymmetry from long-term implant pressure

## Surgical Plan for Silicone Implant Calcification Correction

Preoperative rhinoplasty photos showing right side view, right oblique view, and nostril base view – highlighting dorsal hump and nostril asymmetry due to long-term silicone implant calcification. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

### Capsule Removal and Structural Reset

- Complete removal of the L-shaped silicone implant

- Precise dissection of calcified capsule

- Safe preservation of surrounding tissue

### Rib Cartilage Reconstruction

- Full nasal framework rebuilt with autologous rib cartilage

- Correction of nasal deviation and tip refinement

- Prevention of future capsule-related complications

## Surgical Outcome and Long-Term Stability

Preoperative Video / Immediate Postoperative Video

rontal view comparison of patient before and immediately after rhinoplasty — correction of dorsal hump and nasal deviation using autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

### Functional Improvement

- Breathing restored

- Chronic rhinitis symptoms reduced

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

### Aesthetic Results

- Smooth dorsal line

- Balanced nasal tip and facial harmony

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

Nostril view comparison before and after rhinoplasty – improved nasal symmetry and internal structure following removal of calcified silicone implant — Before Surgery (Left) / Immediately After Surgery (Right)

### Surgeon’s Note

Postoperative photos after rhinoplasty using rib cartilage: Frontal, side, and oblique side views showing corrected nasal contour and improved nasal projection. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Postoperative nostril view showing symmetrical nasal base and improved columella alignment after rib cartilage rhinoplasty — Immediately after surgery: Nostril view photos.

This silicone implant calcification correction case demonstrates how autologous cartilage ensures long-term structural stability and a natural appearance, especially when dealing with long-standing implant complications.