Revision Rhinoplasty & Nasal Implant Removal

Overview: Revision Rhinoplasty & Nasal Implant Removal

Secondary nasal surgery requires meticulous dissection through scarred tissue planes and reconstruction of weakened osteocartilaginous support. Over three decades, Dr. Kwang-Seup Jung has treated a wide spectrum of complex revision rhinoplasty cases (nosere_1.html–nosere_4.html) and patients seeking safe removal of synthetic nasal implants (noseremove.html).

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1. Secondary Revision Rhinoplasty (nosere_1.html–nosere_4.html)

• Indications:
  • Capsular contracture causing progressive nasal shortening and upturned tip deformity
  • Mobile, deviated, or translucent dorsal implants (silicone or Gore-Tex)
  • Pinched, asymmetric, or drooping nasal tip following prior tip plasty
  • Persistent dorsal irregularity or septal deviation after primary osteotomy
• Reconstruction Approach: Complete release of fibrotic scar capsules and structural rebuilding using autologous septal, auricular, or costal cartilage and dermal grafts.

2. Nasal Implant Removal with Autologous Fat Restoration (noseremove.html)

• For Patients Preferring a Natural Implant-Free Nose: When a synthetic dorsal implant is removed alone, the overlying skin and capsule may collapse or appear indented. Dr. Jung combines foreign implant removal with autologous micro-fat or dermal grafting to restore smooth dorsal contours and support thinned nasal skin.

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Recovery & Potential Risks

• Timing of Revision: Generally performed at least 6 months after the previous surgery once tissue inflammation has stabilized, unless acute infection or extrusion requires prompt removal.
• Potential Risks & Side Effects: Prolonged swelling in scarred tissue, bruising, infection, partial graft resorption, cartilage warping, or residual asymmetry.