Tuesday, February 14, 2017

DA Rhinoplasty Revision


DA Rhinoplasty Revision



Duration of Operation
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1hr 30min ~ 2hrs


Anesthesia
---------------
Sedation


Hospitalization
---------------
Not required


Stitch Removal
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After 7 days


Recovery
---------------
Daily routine after a week






What is DA Rhinoplasty Reoperation?

A reoperation should be taken into consideration in if the previous operation brought side effects or if the shape of the nose after rhinoplasty is not satisfying. 



Create a line that matches my nose the best
Candidates for Rhinoplasty Reoperation

Not satisfied with the line of the nose after first operation

Not satisfied with the line of the nose after first operation

Problems with the implant

Problems with the skin



Types of surgical method for rhinoplasty reoperation

Unsatisfied with nasal line 

1 In case of a too high nose or too low nose
Cause If previous operation elevated the nose up too much or too little, not considering the balance with overall face.
Correction The height of the nasal bridge can be corrected by adjusting the thickness of implant, and the height of the nasal tip can be corrected by cartilage repositioning and cartilage transplant



2 Not satisfied with the side profile
Cause If previous operation did not go through enough consultation and rushed through the consultation
Correction In order to create a nose with beautiful side profile, the height of the nose should be adjusted with connection between the nasal bridge and the nasal tip and the shape of the nasal bridge line, and it requires detailed skill and aesthetical sense.


3 Reoccurrence of aquiline nose
Cause If the area in the nasal bridge starts bulging out again or the nasal tip starts drooping again, causing a reoccurrence of aquiline nose
Correction Create a stable, soft nasal line by adjusting the area that is bulging out again and lifting the nasal tip firmly



Problems with implant

1 In case of crooked nose
Cause The nose may look crooked if the implant is leaning to the side or not identical with the shape of dorsum
Correction Recreate the space for implant, then adjusting the  position of implant can correct this case. If the nose was originally crooked even before the surgery, it should be corrected with a rhinoplasty for deviated nose.

2 In case of moving implant
Cause If the implant was not inserted in the space between the bone and the periosteum and was inserted right below the skin, the implant can move or be seen through
Correction Inserting the implant below periosteum can correct this case


3 If you can tell the surgery has been done because of occurrence of boundary along the sides of the nose
Cause The boundary along the sides of the nose can appear if the width of the implant does not fit with the width of the nasal bridge or if the skin on the nose gets thinner
Correction Reinserting an implant that fits nasal bridge well can correct it.
If in case of thinned skin, exchange of implant and skin reinforcement through thick skin, artificial skin, or muscle fascia






Problems with the skin

1 If cartilage or implant is noticeable through thinned skin
Cause The skin gets thinned if the nasal bridge is elevated too much
Correction If it is neglected, the skin can get thinner and in serious cases, it may make a hole, so a reoperation should be the ASAP. It is safe to reinforce skin with artificial skin or muscle fascia and recreate the nasal tip with only autologous tissue

2 In case of unturned nose due to skin shrinkage
Cause The nose may become upturned if there was an infection after surgery or if the epithelium around implant and the scar tissue inside the nose adhered with each other
Correction Recreate the space for implant, then adjusting the  position of implant can correct this case. If the nose was originally crooked even before the surgery, it should be corrected with a rhinoplasty for deviated nose.

3 Problems with the inserted material
Cause The skin may turn red and the surface of the nose can get uneven if medically unapproved substances such as industrial silicone, paraffin, or Vaseline was inserted, causing chronic inflammatory reaction
Correction A reconstructive surgery for nose through removal of the material and reinforcement of the skin with muscle fascia or skin, then recreate the shape of the nose with autologous cartilage




Proper time for DA Line Rhinoplasty Reoperation

1 It is recommended to get a reoperation after the overall tissue of the nose is settled and usually 6 months after the previous surgery.
2 If the implant is crooked, there is an infection, or if the skin around nasal tip or dorsum is red due to extreme thinning of the skin, a reoperation should be done immediately.




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Contact us!
KAKAO : daprsen
LINE : daplasticsurgery
WhatsApp : +82 10 3492 7111


 Academic Background & Training 

Seoul National University Hospital plastic surgery specialist
Seoul National University Hospital plastic surgery clinical instructor
Seoul National University Hospital plastic surgery adjunct professor
Seoul National University Medical Graduate School PhD.

 Active Organizations 

Life member of The Korean Society of Plastic and Reconstructive Surgeons
Member of The Korean Society for Aesthetic Plastic Surgery
Member of Korean Cleft Palate-Craniofacial Association
Member of Korean Facial Contouring Plastic Surgery Research Society
Member of Korean Eye Plastic Surgery Research Society
Member of International Confederation of Plastic and Reconstructive Aesthetic Surgery(IPRAS)







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