[JW Plastic Surgery Center Korea] Nose reshaping and revision rhinoplasty (nose job)- "Contracted Nose"
In augmentation rhinoplasty, there is a high usage of silicone implants in the performance of this procedure. After surgery, there is a possible complication known as a contracted nose (or capsular contracture).
The use of silicone implants has increased in Asian rhinoplasty procedures to improve their low nose bridge.
Causes and Symptoms of Contractured nose (capsular contracture)
A contracted nose can be caused by the performance of poorly grafted implants. It can then cause the following complications:
- Disproportionate nasal bridge, and nasal tip that has asymmetrical irregularities.
- Deviated or protruding implant, and implant extrusions or infections.
- Short nose deformity.
- Non-elastic and thick, hardened skin.
- Color change and discoloration.
Severe cases of a contracted nose displays a nasal envelope that is hard and tightened, and the correction process can be very difficult.
The frame work of the underlying nasal cartilage is compressed and deformed, which results in a shortened nose.
There is no general agreement when to perform surgery on patients with a contracted nose. The first step in the revision process is the removal of anything foreign to decrease the cause of inflammatory effects. though, if surgery is delayed there's consequences that evolve around the maturation of scars, and the increase of the inflammatory process.
During the pre-operative process of revision rhinoplasty, the softening of the nasal skin's envelope should be established.
A mild to moderate capsular contrcation can be corrected by the performance of a wide dissection to release the capsule. The initial step in correcting the more severe cases is to expand the contracted skin. This needs to be adequate. Then there's the stable construction of the desired, internal nasal framework.
The following lists some treatments that can be performed in revision rhinoplasty (multiple nose surgery) of the contracted nose:
- Open rhinoplasty, and the use of various tissue (autologous) grafts.
- Softening the nasal envelope with isolated stroll cells.
- Releasing lateral cartilage from the scar tissue, and using rib cartilage and other tissue grafts (such as dermofat and fascia) to reconstruct the internal framework.
- Combining fat grafting with other treatments to correct the silicone implants to induced capsular contraction.