Why the nasal bridge lowers and widens as artificial dermis is absorbed

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who underwent revision rhinoplasty to correct nasal bridge deformities that occurred after artificial dermis procedures.

• 15 years ago: Silicone implant + septal cartilage at a plastic surgery clinic in Busan

• 3 years ago: Donor dermis + ear cartilage + no-implant rhinoplasty

• 1 year ago: Donor dermis procedure on the nasal bridge (minimal effect due to absorption)

• Loss of nasal bridge height due to absorption of artificial dermis

• Widening of the nasal bridge over time

• Severe damage to the septal cartilage

• Confirming the limitations of previous procedures

• Desire for a natural nasal line

• Improving lowered nasal bridge height

• Maintaining the current nasal tip

• Natural, inconspicuous results

1. Problem resolution

• Removal of absorbed artificial dermis

• Refining the widened nasal bridge line

• Assessing the damaged septum

2. Structural reconstruction

• Septal reconstruction using donor rib cartilage

• Securing a stable support structure

• Restoring nasal bridge height

3. Shape improvement

• Formation of a natural bridge line

• Maintaining harmony with the existing nasal tip

• Adjusting overall balance

In rhinoplasty using artificial dermis, the material can be absorbed over time, leading to deformities where the nasal bridge lowers and widens. This is a primary reason why maintaining a natural nasal line over the long term can be difficult.

In this type of case:

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

1. Front view

• Improvement of a wide bridge

• Creating a uniform line

• Maintaining a natural width

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

2. Profile view

• Securing stable nasal bridge height

• Maintaining a consistent nasal bridge line

• Harmony with the existing nasal tip

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

3. Oblique view

• Improved three-dimensional definition

• Natural line

4. Nostril aspect

• Improvement of nostril asymmetry

• The columella, which had been tilted to the left, became straight

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

This case once again confirmed the limitations of using artificial dermis. Material absorption over time and the resulting changes in shape are major factors that reduce long-term satisfaction. Therefore, for stable, lasting results, proper material selection and surgical planning are essential.

This was Dr. Peter C. Kang. Thank you.

Thank you.

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