R U NOSE Plastic Surgery
‘"Structural Stability of the Nose"
Performing rhinoplasty is akin to constructing a solid building.
Creating a physically sturdy and stable structure reduces the possibility of revision surgeries.
Safe Autologous Rib Cartilage Nasal Reconstruction
Reconstruction
Nasal deformities caused by unresolved infections,
recurring inflammation, or previous surgeries such as contracted
noses or deformities from foreign materials must be
meticulously analyzed and treated with precise and
reliable techniques. Foreign materials should never be used
in problematic nasal surgeries.
At RU Plastic Surgery, even in the most challenging nasal
reconstruction cases, we pursue safe and reliable procedures using
100% autologous tissue.
Autologous Tissue Materials for Nasal Reconstruction
A firm structure (nasal septum, alar cartilage) is reconstructed using autologous rib cartilage.
Soft tissue is reconstructed using fascia and dermis.
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FasciaRectus abdominis or temporalis
fascia is used. It is utilized to cover
the rib cartilage or to provide support for
soft tissues, including skin. -
Autologous Rib CartilageMainly the 6th and 7th rib cartilage are used.
They are carefully trimmed in long and
thin shape to provide structure and
support for the nasal septum and tip framework.
Remaining cartilage is used for alar rims and
shaping the nasal contour. -
Autologous DermisDermis is harvested simultaneously during
rib cartilage harvesting or from areas like
the gluteal fold where scars can be concealed.
It is used when the skin is thin or weak,
or when the cartilage is insufficient.
Surgical Method for Autologous Rib Cartilage Nasal Reconstruction
In cases where foreign materials or infections are present, these are meticulously removed,
and reconstruction is performed using only autologous tissues. To ensure structural stability,
a solid foundation is built using autologous rib cartilage, and the nasal contour is refined with cartilage and fascia.
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01. 1:1 Personalized ConsultationThrough thorough consultations with
the medical team, the patient's visible
symptoms are carefully assessed. -
02. Dual 3D AnalysisUsing high-resolution 3D CT scans,
the condition of any implanted materials
and the internal nasal structure are evaluated.
A 3D simulation is then used to preview
the post-surgery results. -
Minimal incision the breast
03. Rib Cartilage HarvestingRib cartilage is harvested through
a minimal incision of approximately
2 cm along the breast crease. -
04. Rib Cartilage DesignThe harvested rib cartilage is carefully
designed to match the patient’s nasal structure
and is then meticulously shaped and refined. -
Pocket Creation
05. Precise and Wide Pocket CreationA precise and wide pocket is created,
accommodating both the cartilage and
surrounding tissue, allowing all cartilage
to be positioned freely and securely. -
06. Removal of Existing Implants
and Infection TreatmentPreviously inserted implants are removed,
and any areas with infections are treated. -
07. Nasal Septum Reconstruction
Using Rib CartilageThe L-shaped structure is firmly
reconstructed using rib cartilage. -
Insertion of
Rib Cartilage08. Insertion of Designed Rib CartilageThe carefully refined rib cartilage is precisely
inserted into areas such as the nasal bridge,
septum, and tip to complete the nasal contour.
Timing for Nasal Reconstruction
-
Check 01
In Cases of simple revision
Although it varies by individual, it is recommended
to proceed with revision surgery once the tissue has
sufficiently stabilized, which is usually around six months
after the initial procedure. -
Check 02
In Cases of Inflammation or Contracture
After the cause of the inflammation is removed,
surgery is performed once the affected area becomes
softened and healed. -
Check 03
Condition and Type of Surgery
The timing of the surgery may vary depending
on the condition of the tissue and the type of procedure.
Autologous Rib Cartilage Nasal Reconstruction
is Recommended for These Individuals.
At RU Plastic Surgery, we recommend autologous rib cartilage nasal
reconstruction for the individuals listed below.
-
01
Contracted nose
-
02
Unresolved and
recurring nasal inflammation -
03
A severely destructed nose
(ex. Saddle nose) caused
by trauma or previous surgery -
04
When cleft lip and palate
patients desire nasal surgery
