The Cause of a Contracted Nose is "This Material."

#ContractedNose #RevisionRhinoplasty #Rhinoplasty #HumpNose #LongNose #BulbousNose #GangnamRevisionRhinoplasty #AutologousRibRhinoplasty #AutologousRib #AutologousRibCartilage #DeviatedNose #Uber #SeoSeungJo #ShimJungHwan #GangnamBulbousNose

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Hello,

💖your beauty universe! This is Uber Plastic Surgery :)💖

Hello, I am Dr. Seo Seung-jo, head director of Uber Plastic Surgery.

Today's video is about contracted noses!!

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Q : What is the cause of contracture after rhinoplasty?

Dr. Seo Seung-jo : The main cause is "inflammation."

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1. Bacterial invasion during surgery

If there are few bacteria - low probability of contracture

If there are many bacteria and poor physical condition - bacteria adhere to the silicone capsule

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* When a foreign substance enters, a capsule completely surrounds the silicone! (To protect against bacterial attacks)

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-> The capsule gradually thickens, and as it thickens, the contracture phenomenon occurs.

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"Most inflammation occurs almost entirely within a month after surgery."

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What about inflammation that occurs a long time after surgery?

1. When the silicone has shifted

Fluid accumulation - fluid builds up causing inflammation - the capsule thickens - leads to contracture

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2. When it is caused by the material

Medpor - surrounding tissues enter through the pores -> causes the tissues to become distorted

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Q : Is silicone the cause of contracture?

Dr. Seo Seung-jo : NO!

Using materials like Silitex or Gore-Tex, or materials that form less of a capsule, helps prevent contracture.

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Q: If I got a contracted nose after inserting silicone, is it okay to remove it and insert silicone again?

Dr. Seo Seung-jo : Let's reduce the volume of the silicone!

(Creating a sturdy pocket using materials like autologous rib cartilage)

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Do NOT force in too much silicone.

Silicone's role is to fill empty spaces.

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Alternatively, it can be replaced with other materials like dermis or post-auricular fascia.

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Q : What is the surgical method for a contracted nose?

Dr. Seo Seung-jo : It depends on the case!

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1. Ongoing contracted nose - Remove the foreign substance first, then proceed.

2. Fully progressed contracted nose - Any revision surgery is possible!

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❤ Want a quick consultation?

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Frequently Asked Questions

What is the main cause of contracture nose after rhinoplasty?

The main cause is inflammation. Bacteria that invade during surgery adhere to the silicone capsule, causing the capsule to gradually thicken and leading to contracture. Most inflammation occurs within one month after surgery.

Why does contracture occur long after surgery?

It is due to silicone migration or the characteristics of certain materials. Silicone migration can lead to fluid accumulation, resulting in inflammation and contracture, and materials like Medpor can cause contracture as surrounding tissues grow into the pores and become distorted.

Can silicone be reinserted during revision rhinoplasty for contracture nose?

Yes, it is possible, but excessive insertion should be avoided. Silicone should only be used to reduce volume and fill empty spaces, and it is important to strengthen the internal structure with materials like autologous costal cartilage.

Are there alternative materials for revision rhinoplasty that can be used instead of silicone?

Yes, autologous tissues such as dermis or fascia from behind the ear can be used as alternative materials. Additionally, using Siltex or Gore-Tex, which produce fewer capsules, can help prevent contracture.

If contracture is currently progressing, can revision rhinoplasty be performed immediately?

No, when contracture is progressing, foreign body removal is the priority. Foreign bodies inside the nose must be removed first, and then the condition should be monitored before proceeding with revision surgery. If the contracture progression has completely stopped, immediate revision surgery is possible.