Changes caused by semi-permanent bridge filler and septal reconstruction after removal

Hello, I am Dr. Peter C. Kang.

Today, I will introduce a case where a patient troubled by semi-permanent bridge filler (Artecoll), an upturned nose, and septal damage underwent reconstruction using autologous rib cartilage planned with safety in mind.

Past history:

• Severe septal damage from previous surgery

Main concerns:

• Semi-permanent bridge filler (Artecoll)

• Upturned nasal tip

• Severe septal damage

• Nostril asymmetry

• Nasal obstruction caused by a deviated septum and rhinitis

• Safe removal of semi-permanent filler

• Improvement of upturned nose

• Functional recovery through septal reconstruction

• Correction of nostril asymmetry

• Improvement of nasal obstruction

1. Complete removal of semi-permanent filler (Artecoll)

The semi-permanent filler Artecoll on the nasal bridge was removed. Because semi-permanent filler can cause inflammation or deformity over time, it was completely removed to establish a clean foundation.

2. Resolving asymmetry with alar rim lowering

The retracted nostril was lowered to secure symmetry. Frontal balance was significantly improved.

3. Septal reconstruction with autologous rib cartilage

The septum was severely damaged from previous surgery. Using autologous rib cartilage, the septum was sturdily reconstructed. The central support was restored, enabling stable support for the nasal tip.

4. Correction of the upturned nasal tip

Using autologous rib cartilage, the upturned nasal tip was naturally lowered and corrected to an appropriate height. A balanced shape matching facial proportions was created.

5. Treatment of deviated septum and rhinitis

The deviated septum was straightened, and the nasal airway swollen from rhinitis was opened to restore breathing. Daily life becomes more comfortable.

• Securing a clean base through complete removal of semi-permanent filler (Artecoll)

• Resolving asymmetry with alar rim lowering

• Securing stable support through autologous rib cartilage septal reconstruction

• Naturally correcting the upturned nasal tip

• Breathing restored by treating septal deviation and rhinitis

• Achieving an overall balanced and natural nose

This was a complex case requiring the careful removal of semi-permanent filler alongside reconstruction of a severely damaged septum.

Risks of semi-permanent filler

Over time, semi-permanent filler (Artecoll) can cause issues such as inflammation, deformity, and migration. Completely removing it to create a clean environment is the first step in revision rhinoplasty planned with safety in mind.

Importance of septal reconstruction

When the septum is severely damaged, support for the nasal tip weakens and breathing can become difficult. Reconstructing it with autologous rib cartilage firmly restores the central structure. Because it is the patient's own tissue, there is no foreign body reaction, and it remains stable over the long term.

Correction of an upturned nasal tip

An upturned nasal tip can look immature and creates an unsettled impression due to excessive nostril show. Lowering it appropriately with autologous rib cartilage creates a mature and natural appearance. Performing this alongside septal reconstruction also secures structural support, supporting a stable result.

Simultaneous functional and cosmetic improvement

A deviated septum and rhinitis are major causes of nasal obstruction. Treating them concurrently with cosmetic rhinoplasty allows all concerns to be addressed in a single recovery period.

We will continue to do our best as a specialized revision clinic to address serious issues such as semi-permanent fillers with care and produce natural results. This has been Dr. Peter C. Kang, Medical Director. Thank you.

#closedrhinoplasty #closedrevisionrhinoplasty #semipermanentfillerremoval #artecollremoval #upturnednosecorrection #autologousribcartilage #septalreconstruction #nasalfunctionalimprovement #revisionspecialist