Nasal contracture basics
Nasal contracture refers to a progressive tightening of nasal tissues after rhinoplasty or trauma, which can distort both appearance and breathing. Thin skin, weak cartilage, or previous scar tissue raise the risk, as does repeated revision surgery. Korean surgeons emphasize precise structural analysis before revision of nasal contracture to protect airway function and nasal support. Early recognition of changes and timely planning help preserve tissue and enable safer outcomes.
Common signs include a drooping or saddle-shaped dorsum, narrowed nostrils, and an unnatural tip angle. Imaging, endoscopy, and careful clinical measurements guide the assessment. A well-handled case balances aesthetics with maintaining nasal function, a priority in Korean practice. Consultations review prior surgeries, skin quality, and donor tissue options during planning.
Autologous grafting
Autologous grafting uses the patient’s own tissue to restore support and reduce nasal contracture. Rib cartilage, septal cartilage, and sometimes fascia are chosen based on tissue availability and required support. Autografts tend to integrate well, reduce rejection risk, and offer durable results. Korean surgeons prefer autologous approaches when feasible to improve both shape and stability.
Grafting requires precise harvest and sculpting to avoid asymmetry or donor site morbidity. Modern planning tools, including 3D imaging and surgical guides, help achieve natural contours. The balance between soft tissue coverage and rigid support is critical to prevent recurrence. Patients should discuss donor site discomfort, recovery time, and potential scarring during consent.
Revision planning
Revision planning focuses on restoring function first and then refining aesthetics. A clear plan includes graft choice, incision strategy, and the sequence of steps to minimize tissue damage. In Korea, high safety standards guide preoperative testing and sterility practices. Surgeons assess airway patency, nasal valve stability, and cosmetic goal alignment before proceeding.
Realistic expectations and staged procedures can reduce complications and improve long term results. Current trends in Korea favor non-implant solutions and meticulous 3D planning. Surgeons emphasize patient-specific grafting strategies that mimic native tissue, avoiding overcorrection. Collaborative care and clear communication remain essential for safe, natural outcomes.
Hospital selection tips
When choosing where to revise, prioritize centers with accredited facilities and established revision experience. Look for surgeons who publish outcome data and discuss complication rates openly. A multidisciplinary approach that includes ENT input helps protect breathing and nasal function. Safety protocols, sterilization standards, and patient aftercare should be clearly outlined.
Timing matters; a well-timed revision reduces tissue loss and accelerates recovery. Ask about anesthesia options, perioperative pain management, and a detailed recovery plan. In Korea, many patients choose hospitals with robust safety records and transparent pricing. Listening to patient experiences and baseline function guides a prudent choice for revision.