Skin Necrosis and Contracted Nose Repair Using Autologous Rib Cartilage – NoseLab Plastic Surgery Seoul

noselab
2023년 6월 13일
2분 분량

최종 수정일: 3일 전

Background of Skin Necrosis and Contracted Nose Repair

The patient visited NoseLab Plastic Surgery Seoul after undergoing five rhinoplasty surgeries at different clinics.

Repeated surgeries and inflammation eventually led to skin necrosis and severe contracted nose deformity, resulting in extensive soft tissue and cartilage loss.

2015: Silicone + ear cartilage
2020: Hip dermis + septal cartilage, followed by an additional dermis transplant after 4 months
2021: Hip dermis + ear cartilage, with skin necrosis occurring three days after re-correction

To recover the damaged skin, the patient received:

Four sessions of stem cell therapy from autologous fat, and
Two sessions of stem cell therapy from autologous blood

Despite the treatments, the nasal septum and alar cartilage were severely damaged and almost completely absorbed.

First Stage – Structural Reconstruction Using Autologous Rib Cartilage

In the first operation, the nasal septum and alar cartilage were reconstructed using autologous rib cartilage.

A septal extension graft was performed to lower the nasal tip and correct the contracted appearance.Under the depressed nasal skin, autologous dermis and ear cartilage were transplanted to rebuild the soft tissue layer.

A portion of the rib cartilage was preserved for the second-stage surgery to ensure long-term support and contour stability.

This staged approach was critical for managing skin necrosis and contracted nose repair, allowing proper healing before refinement.

Sequential comparison of skin necrosis and contracted nose repair using autologous rib cartilage — pre-op, post stem cell treatment, first operation, 8 months, second operation, and 10 days after surgery at NoseLab Seoul.

1.Pre-Op 2.Post-Stem cell treatment 3.1st Op 4.8 Months 5.2nd Op 6.10 days

Second Stage – Correction of Asymmetry and Depressed Skin

Six months after the first operation, two additional stem cell treatments were performed to enhance skin elasticity and vascularity.

The second surgery focused on correcting nostril asymmetry and depressed nasal skin using the preserved rib cartilage.

During surgery, the previously grafted cartilage remained stable and viable.

The depressed areas were reinforced with additional rib cartilage, achieving a natural nasal contour and improved symmetry.

Side view comparison of skin necrosis and contracted nose repair using autologous rib cartilage — pre-op, post stem cell treatment, first surgery, 8 months later, second surgery, and 10 days after operation at NoseLab Seoul.

1.Pre-Op 2.Post-Stem cell treatment 3.1st Op 4.8 Months 5.2nd Op 6.10 days

Nostril view comparison of skin necrosis and contracted nose repair using autologous rib cartilage — pre-op, post stem cell treatment, first surgery, 8 months later, second surgery, and 10 days after operation at NoseLab Seoul

1.Pre-Op 2.Post-Stem cell treatment 3.1st Op 4.8 Months 5.2nd Op 6.10 days

Postoperative Outcome and Functional Recovery

After two staged operations, the skin necrosis and contracted nose were successfully corrected.

The nasal structure regained strength, projection, and softness, and nasal breathing function also improved significantly.

This case demonstrates how autologous rib cartilage reconstruction combined with stem cell therapy can effectively restore both aesthetic form and functional stability in severe secondary rhinoplasty cases.