Revision Rhinoplasty
Surgical Method

• • 
  • 

  METHOD 01

  Improper placement
  of the implant

  CAUSE

  • Improper placement of the implant causing nasal bridge deviation
  • Incorrect implant size

  REVISION METHOD Pre-existing implant is removed and re-shaped to suit the patient’s nasal slope.
  The insertion area is re-adjusted as well so that the new implant
  could be properly fixated.

• • 
  • 

  METHOD 02

  Movement of the implant

  CAUSE

  • The implant is not properly fixated in between the bone and the periosteum
  • Damaged periosteum from the previous surgery, resulting to poor implant
    fixation.

  REVISION METHOD Implant is relocated and fixated on the proper area (below the periosteum)
  in order to prevent further movements.

• • 
  • 

  METHOD 03

  Nasal tip deformation due
  to implant

  CAUSE

  • Excessively elevated nasal bridge
  • Nasal tip raised with silicone implant only
  • Stretched / Over-pressured skin

  REVISION METHOD Initial implant located on the nasal tip is removed, and the tip is re-shaped and
  raised by using autologous tissues such as cartilage, dermis etc.

• • 
  • 

  METHOD 04

  Contracture

  CAUSE

  • Skin tissues wrapping the silicone implant contracts, gets hard and stiff
  • Inflammations / Infection left untreated

  REVISION METHOD Contracture can be improved through the use of septal cartilage or donor rib
  cartilage. The scar tissues must be alleviated before reshaping the tip cartilage
  into its original shape and size.The shape of the nose tip is raised again with septal or donor rib cartilage.

• • 
  • 

  METHOD 05

  Excessively elevated
  nasal bridge

  CAUSE

  • Augmentation done with excessively thick implant, without
    considering the overall balance of other facial features.

  REVISION METHOD Initial implant is removed and exchanged into a customized implant that suits the patients. In the case where the patient has sufficient bridge, implant augmentation may not be necessary. Simple procedure which gathers the nasal bridge can give off a natural look.

• • 
  • 

  METHOD 06

  Implant projection due to
  narrow nasal bridge /
  thin skin
  

  CAUSE

  • Narrow silicone implant used
  • Visible silicone implant due to thin skin

  REVISION METHOD In the case of narrow implant, initial implant is removed and exchanged into a customized
  implant that suits the patient. The ideal width of the implant is 10mm for women, and
  13mm for men. In the case of implant projection due to thin skin, silicone is wrapped with
  autologous dermis/fascia before being augmented again.

• • 
  • 

  METHOD 07

  Under-projected nasal tip

  CAUSE

  • Initial surgery done without considering the strength and the supportive
    structure of the nasal tip, causing tip cartilage to droop over time.

  REVISION METHOD The nasal tip is supported and strengthened with septal cartilage.