Why the nose becomes upturned and shortened after illegal injection procedures, and how foreign body removal and reconstruction are performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient whose severe foreign body issues and upturned nose deformity caused by an illegal procedure—a so-called uncertified injection—were successfully addressed. This was a distinctive case where the patient had suffered for a prolonged period due to an illegal procedure performed in a public bathhouse after standard surgery 20 years ago.

• 20 years ago: Rhinoplasty with an L-shaped silicone implant

• 17 years ago: Illegal injection procedure on the nasal bridge performed in a public bathhouse

1. Front view

• Depressed nasal tip

• Severely upturned nose

• Shortened nasal shape

• Nostril asymmetry

• Deformed nasal tip

2. Profile view

• Very high radix

• Unnatural nasal line

• Upturned nasal tip

• Protruding mouth findings

3. Nostrils

• Nostril asymmetry

• Depression at the upper columella

• Improvement of upturned nose

• Elevation of the nasal tip

1. Foreign material removal

• Foreign material discovered during nasal tip dissection

Purulent foreign material observed at the nasal tip

• Sent for bacterial culture and antibiotic susceptibility testing

• Complete removal of foreign material from the nasal bridge

Video of foreign material removal

2. Structural reconstruction

• Maximum release of contracted nasal bridge skin

• Tip correction using autologous rib cartilage

• Stable correction of the upturned nasal tip

3. Shape improvement

• Reconstruction of the nasal bridge line using a silicone implant

• Securing natural overall proportions

• Appropriate adjustment of nasal tip height

• Correction of nostril asymmetry

• Correction of the depressed columellar area

1. Front view

• Improved tip shape

• Stable nasal position

• Balanced nostril asymmetry

2. Profile view

• Natural radix position

• Stable tip position

• Improved appearance of protruding mouth

3. Nostrils

• Improvement of nostril asymmetry

• Improvement of the depressed columellar area

• Harmonious nostril shape

This was a distinctive case requiring the resolution of complex issues stemming from an illegal, uncertified procedure. During the nasal tip dissection, unexpected purulent foreign material was identified, leading to bacterial testing, and all foreign material was completely removed.

It was necessary to release as much of the nasal bridge skin as possible, which had contracted from long-standing foreign body and inflammatory reactions, and autologous rib cartilage was used to correct the upturned nasal tip stably. A silicone implant was used on the nasal bridge to create a natural line.

Improper illegal procedures can cause severe long-term complications. For health and safety, I always advise receiving verified treatments at professional medical institutions. If you have any questions regarding rhinoplasty, please feel free to visit NOSELAB.

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

Thank you.

#closedrhinoplasty #revisionrhinoplasty #foreignbodyremoval #upturnednosecorrection #customrhinoplasty #illegalinjectionremoval

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