 |
|
|
Home > Services > Cosmetic Surgery
> Facial Sculpturing Surgery > Secondary rhinoplasty |
 |
|
|
 |
Korean style rhinoplasty |
 |
Autologous
cartilage graft rhinoplasty |
|
Secondary
rhinoplasty
|
|
| |
|
Korean
style double eyelid surgery |
|
Epicanthoplasty
and lateral canthoplasty |
|
Chin
implant surgery
|
|
| |
| Filler
treatment for nasolabial sulcus correction |
|
Facial
liposuction and cheek augmentation
with fat autograft |
|
Youthlites
creation surgery
|
|
| Technique
for creating dimples |
|
Lip reduction surgery |
|
Other
facial surgeries
|
|
| |
|
|
Secondary rhinoplasty |
|
 |
 |
|
The outcome of rhinoplasty varies greatly
due to the different condition of the
person’s original nose. Furthermore,
factors such as surgery method, choosing
nose mould and the surgeon’s sense of
beauty will often cause consumers to
have a subjective view thus consumer
may be unsatisfied after the surgery.
Even after some period of time, complications
will occur after rhinoplasty. For example,
nasal dorsum starts to become crooked,
nose head becomes red, hurts and so
on. If these symptoms continue to appear,
then there is a need to consider a secondary
rhinoplasty to correct it.
If you have circumstances listed below,
you can consider under going another
rhinoplasty in order to see improvements.
1. Subjectively judging the look of
the nose is unnatural or inaesthetic
2. The nose is crooked or movable due
to an external force
3. redness in the nose head or aching
nose
4. Adventitious inflammation of nasal
dorsum or symptoms such as rejection
of the nose mould
5. Irregularity of nasal dorsum or suspected
peculiar feelings such as calcified
nose mold
At present, rhinoplasty is not just
simply inserting in the artificial nose
mould and also as majority of secondary
rhinoplasty can not achieve perfect
improvements through general surgery
method therefore Korean style open rhinoplasty
has gradually become the best option
for guaranteeing the outcome after the
surgery.
|
| |
 |
| |
General (primary)
rhinoplasty |
Secondary
rhinoplasty |
| Surgery
method |
Both traditional
(from nostril) and Korean style
rhinoplasty (open incisions)
are fine |
Korean
style rhinoplasty (open incisions) |
| Surgery
length |
Within 2 hours
|
2-3
hours |
| Anesthesia |
Intravenous
sedation and local anesthesia |
Intravenous
sedation and local anesthesia |
| Operational
Incision |
Single
sided of the nostril (traditional
method) and nasal columella
(Korean style open incision
surgery) |
nasal
columella |
| Material
chosen |
Artificial
nose mould/ Goretex |
Artificial
nose mould/ Goretex |
| Recovery
Time |
5-7 days |
7-10
days |
| Stitches
Removal |
7 days (Korean
style) |
7
days |
| Infection
rate |
Low |
Low |
|
| |
 |
There are many categories in Korean
style rhinoplasty, which can completely
resolve the problems caused by
previous rhinoplasty.
1. Open incision
Enter from the incision of nasal
columella, separate the soft skin
tissues and the cartilage below
it. As a result, the skin of the
nose head can completely relax.
This will prevent problems such
as redness, become thin or even
penetration of the nose mould,
which are due to the nose head
being too stiff.
|
 |
2.
Removal of the capsule
If previously the implant material
is silicon nasal bone, then a
layer of uneven thickness capsule
cladding must have been created.
This capsule must be cleaned completely
to resolve pre-surgery contraction
of the nose or discomforts. In
addition, the nasal dorsum and
nose head will also become softer
and thinner due to withdrawal
of the capsule. This is helpful
in the reduction of the nose head
and re-sculpturing.
|
3.
Cushioning of nasal dorsum implant
If patient reject silicon nose
mould then change to using Goretex,
which can cohere to tissues, in
secondary rhinoplasty to solve
problems like discomforts occurred
previously.
4. Cushioning of the cartilage
of the nose head
The effect of using autologus
nasal septal cartilage to create
a nose head that is mignon and
pointed is much better than using
ear cartilages. Cartilages can
be used as a cushion between the
nose head skin and artificial
material to ensure the safety
of the nose head.
5. Thinning of the nose head and
focusing of the cartilage on the
two sides:
This key is to remove the capsule
and fat tissues inside the nose
head. This will improve problems
of the nose head being too hard,
too big or even “garlic nose”
and so on.
6. Shrinking the nose
wing or nostril
Let the triangle ration of the
nose head to be more perfect.
The surgery, which can be operated
internally or externally, will
be different depending on the
person’s size and thickness of
the nosewing
|
|
 |
| |
 |
 |
 |
|
| |
 |
In secondary rhinoplasty, you can choose
to change to the implant material to
the new improved silicon nose mould
or even more expensive materials such
as Gortex. This two types of material
is currently the main trend in rhinoplasty
and they both have their advantages
and disadvantages. However, if the patient
has been previously infected by silicon
nose mould, nose is inflamed or other
complications then the author suggest
to choose to use Goretex in the secondary
rhinoplasty as it is compatabile with
the body tissues in the long term and
does not shack easily or relocate.
From subjective point of view, generally
the author will suggest patients with
sufficient certain nose head condition
to choose to use artificial nose mould
for the implantation. The outcome can
be easily achieved. However if the nose
head is too tight or the condition is
not allowable then patient must choose
to use Goretex to achieve the goal of
the surgery which is beauty and safety.
|
|
|
|
 |
| |
Silicon nose
mould |
Goretex
|
| Surgery
method |
Both traditional
or Korean style (open approach)
rhinoplasty are fine |
Korean
style rhinoplasty (open approach) |
| Operational
Incision |
Single sided
of the nostril or nasal columella
|
nasal
columella |
| Size
and style |
There are
L and T shape nose mould and
different sizes to choose from
|
Depending
on the surgeon’s cutting |
| Location
of the insert |
Below
periosteum |
Below
periosteum |
| Shacking
or relocation |
None |
None
|
| Ability
to be sculptured |
Moderate |
Excellent |
| Durability
|
Excellent
|
Excellent |
| Natural
look |
Different
size chosen by the surgeon will
have different look |
Excellent |
| Autologous
cartilage implant |
Can
be used or not |
Necessity
|
| Compatibility
with the body’s tissues |
None |
Compatible
|
| Infection
rate |
Low
|
Low
|
| Advantages
|
Convenient
use, excellent 3-D effect, easy
to take out later on |
Excellent
natural look, no stiff feeling,
can be custom made |
| Disadvantages
|
The
natural look of the nose depends
on the condition of the person’s
nose, possible occurrence of
problems such as over tightened
and red and swollen nose. If
it is not placed below the periosteum,
relocation or side effects may
occur. |
It
must be inserted from the incision
of nasal columella. After insertion,
the height will gradually decrease
as time pass, easy to relocate
or be uneven, uneasy to take
out later (half year later),
need to cooperate with patient’s
own cartilage and it is expensive
|
|
| |
|
|
|
| |
|
|
|
整形