Causes of contracted nose
Nasal contracture occurs when scar tissue tightens the nasal framework after rhinoplasty, often following implants or grafts. In many cases, the nose appears shorter and the tip may droop, creating an unnatural look. Contributing factors include repeated surgeries, inflammation, and foreign materials that trigger the body's immune response.
Asian noses often have thinner skin and less projection, which can increase the risk of contracture when implants are used. Careful preoperative assessment, including skin quality and graft availability, helps reduce that risk. Early signs include stiffness, asymmetry, or a changing nasal height.
Consultation with a rhinoplasty expert focuses on whether current structure is stable and what revision options exist. Imaging and physical examination guide the plan, from releasing scar tissue to selecting materials less likely to provoke inflammation. Patients should understand potential tradeoffs, such as height, breathing, and aesthetic balance.
Treatment and prevention
Revision strategies aim to release scar, correct height, and restore harmony. Techniques vary from endonasal releases to open approaches, and may include repositioning or replacing implants with biologic grafts. 3D planning helps tailor the approach to the individual anatomy.
The role of materials is critical: autologous tissue tends to integrate with less inflammatory risk, while synthetic implants can provoke reaction if not well matched. Surgeons may use cartilage grafts from the septum or ears, or utilize advanced biocompatible implants. Cost, availability, and long-term stability are weighed in the decision.
Preventing recurrence involves staged procedures and rigorous postoperative care. Patients should avoid smoking, minimize trauma to the nose, and follow congestion management. Follow-up visits track healing and detect early signs of relapse.
Recovery and care tips
Postoperative swelling can last weeks, and nasal breathing may be temporarily affected. Adhering to prescribed medications and saline rinses supports healing. Elevating the head while sleeping and avoiding facial pressure reduce bruising.
Choosing a clinic: look for surgeons with revision rhinoplasty experience, clear planning, and strong safety records. Ask about 3D simulations, anesthesia options, and dedicated aftercare programs. Review credentials, outcomes, and patient testimonials as part of your decision.
Latest trends in Korea emphasize natural results, safe materials, and precise planning. Open and closed techniques are chosen based on case details, with growing use of computer modeling. There is increasing interest in using autologous tissue and minimally invasive methods to reduce recovery time.