Revision rhinoplasty involving autologous dermis is easier to understand by first looking at where the dermis was initially placed. There are cases where autologous dermis previously placed in the nasal bridge was removed and reused to reinforce thinned nasal tip skin. These records show how the same tissue served different roles between its initial graft site and the current surgery.
This collection includes articles detailing the removal of gluteal dermis that had covered the bridge to the nasal tip and its subsequent reuse at the tip, as well as evaluations of the nasal bones alongside existing dermis. Dermal graft removal does not necessarily mean discarding the entire tissue or completely replacing it with another material. Review the extent of removal, the areas where it was reused, and the cartilage procedures performed concurrently.
View before-and-after cases ↓Comprehensive rhinoplasty guide
We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.
Performed or used in this surgery
After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.
Previous surgeries and procedures
For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.
Performed or used in this surgery
In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.
Previous surgeries and procedures
A case of an upturned nose and widened bridge caused by dermal graft absorption. After removing nasal filler placed 2 years ago, a straight bridge line was established through septal extension, alar rim lowering, and correction of the depressed dorsum.
Previous surgeries and procedures
We removed an L-shaped silicone implant that was at imminent risk of perforating the left columellar mucosa, then reconstructed the contracted nose using autologous rib cartilage for septal extension and autologous dermis for tip reinforcement.
Performed or used in this surgery
To resolve an upturned nose and nostril asymmetry resulting from surgery performed 13 years ago, adhered Medpor was carefully dissected and removed, and the septum was reconstructed using autologous dermis.
Performed or used in this surgery
Foreign materials that had widened the glabella along with the previous implant were removed, and the upturned nose was corrected through partial septal reconstruction using autologous rib cartilage and nasolabial angle adjustment.
Previous surgeries and procedures
This is a case where a chronic inflammatory mass that developed after repeated surgeries and obstructed the nostril was precisely resected, restoring breathing function and stabilizing the nasal tip structure.
Previous surgeries and procedures
A case where autologous rib cartilage was used for full septal reconstruction alongside dermis grafting to address repeated surgical history, septal perforation, and thinned nasal tip skin.
Previous surgeries and procedures
To correct persistent nasal tip show-through and an upturned nose that remained even after an ear dermis graft, past filler residue was completely removed, the tip defining point was naturally lowered, and nasal tip plasty using autologous rib cartilage was performed.
Previous surgeries and procedures
For a patient who experienced partial absorption of donor dermis on the nasal bridge and septal damage after multiple revision surgeries, the donor dermis was removed, the septum was reconstructed with autologous rib cartilage, and the skin was reinforced with retroauricular dermis.
Previous surgeries and procedures · Performed or used in this surgery
In a case with signs of nasal bridge skin necrosis and alar asymmetry after multiple rhinoplasties, the nasal bridge and nostril shape were reconstructed using autologous rib cartilage grafting, alar repositioning, and growth factor application.
Previous surgeries and procedures
A case of improving an upturned tip, crooked nose, and nostril asymmetry that developed after four prior nasal surgeries and filler injections, using foreign material removal, septal extension with autologous rib cartilage, and silicone implant supplementation.
Previous surgeries and procedures
To resolve show-through of an L-shaped silicone implant and cartilage beneath thinned skin, we removed the previous silicone implant, reinforced the skin with dermis, adjusted the tip height, reconstructed the nasal tip with autologous rib cartilage, and replaced the implant with a new one.
Performed or used in this surgery
To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.
Performed or used in this surgery
A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.
Previous surgeries and procedures
A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.
Previous surgeries and procedures · Performed or used in this surgery
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Our surgical records include cases where autologous dermis removed from the existing nasal bridge was reused to reinforce thinned nasal tip skin. Some cases specifically detail reusing gluteal dermis at the nasal tip. Because these are operative notes based on inspecting the condition of the specific tissue, they should not be interpreted as a general rule that all autologous dermis can be reused.
One article explains a case where, after removing the dermis, a significant defect in the nasal roof was identified, and the gap between the nasal bones was filled with autologous rib cartilage. This was a case where handling of the soft tissue coverage and internal structural work were performed together. Comparing only whether dermis was used may overlook the overall scope of such revisions, so reviewing the entire surgical course is recommended.
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