In articles concerning L-shaped implants, the timing of past surgeries and any subsequent changes in materials are important. There are cases where a history of inserting an L-shaped silicone implant long ago was followed by alar reduction or silicone revision rhinoplasty, all appearing in a single record. To understand the present shape, it is necessary to examine not only the initial surgery but also any interim removals or graftings in chronological order.
This collection includes records where, after removing an L-shaped silicone implant, the nasal tip was reconstructed with autologous rib cartilage and the nasal bridge was changed to an I-shaped implant. In the same surgery, columellar tilt, nostril asymmetry, and the radix were also addressed together. Please read the removal of an L-shaped implant and the materials remaining in the nasal tip and nasal bridge as separate pieces of information.
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A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.
Previous surgeries and procedures · Removed in this surgery
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Previous surgeries and procedures
A case where a septal defect and filler-induced deformity were identified after five prior surgeries. Following filler removal, the septum was reconstructed with autologous rib cartilage, and the nasal tip was reinforced using existing deep temporal fascia.
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
A short, upturned, crooked nose following an L-shaped silicone implant was lowered using septal extension with autologous rib cartilage, and the airway was improved through nasal valve reconstruction and septal correction.
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.
Previous surgeries and procedures · Removed in this surgery
A case of complete reconstruction using autologous rib cartilage after removing an L-shaped silicone implant and its calcified capsule inserted 30 years ago, which had caused a dorsal hump and a crooked nose.
Previous surgeries and procedures · Removed in this surgery
To resolve persistent septal damage, nasal deviation, and nostril asymmetry following repeated surgeries, the central support pillar was entirely reconstructed using autologous rib cartilage.
Previous surgeries and procedures
A case correcting a contracted nose, crooked nose, and pinched nostrils that developed after repeated surgeries, using silicone implant and scar tissue removal, nasal tip reconstruction with autologous rib cartilage, alar reconstruction with ear cartilage, and dermal grafting.
Previous surgeries and procedures
A case where purulent foreign material injected into the nasal bridge during an illegal procedure was removed, contracted skin was released, and an upturned nasal tip and bridge line were reconstructed using autologous rib cartilage and a silicone implant.
Previous surgeries and procedures
A case where a previously replaced L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and the nasal bridge was replaced with an I-shaped implant to correct an upturned nose and a tilted columella.
Previous surgeries and procedures · Removed in this surgery
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.
Previous surgeries and procedures
For nasal deformity, dorsal pain, and nasal obstruction caused by an old implant, septoplasty and autologous rib cartilage septal reconstruction were performed to improve the columella and nostrils.
Previous surgeries and procedures
Implant show-through at the nasal tip and chronic rhinitis symptoms following an old silicone implant placement were addressed through implant removal, reconstruction of the septum and nasal tip cartilage, and rhinitis surgery.
Previous surgeries and procedures
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
A case in an older patient with a 50-year history of repeated surgeries, nasal pain, and a crooked nose deformity, where the previous cartilage causing the pain was removed and the nose was reconstructed using donor rib cartilage.
Previous surgeries and procedures
Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.
Previous surgeries and procedures
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Among the presented surgeries, there are cases where the L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and a new I-shaped implant was used for the nasal bridge. Therefore, removing an L-shaped implant is not synonymous with an entirely implant-free nose. You can understand the details of the surgery more accurately by checking the removed material and the newly reconstructed nasal bridge and nasal tip separately.
There are recorded histories such as receiving an L-shaped implant insertion and alar reduction 24 years ago, or undergoing surgery 30 years ago followed by silicone revision rhinoplasty, removal, and dermal grafting. Rather than the common thread of having an old implant, these articles show substantial differences in subsequent surgeries. To compare them with your own progress, please also review the number of surgeries and the sequence of material changes.
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