Filler & Botox

HOMESkin CareNose Revision Surgery

Nose Revision Surgery

  • Surgery duration2 hours
  • Anesthesiaanesthesia with sedation or local anesthesia
  • Hospitalizationnot required
  • Removal of stitches5~7 days after operation
  • Number of
    postoperative visits
    2~3 times
  • Recovery period7 days after stiches removal
What is Nose Revision (Revision Rhinoplasty)?

Nose Revision (Revision Rhinoplasty) creates a smoother and more natural looking nose, which will even work to heal your mind.

You need to undergo revision rhinoplasty(nose surgery) if you are experiencing any of the following cases: your nose shape is different from what you expected after rhinoplasty(nose surgery); you have an excessively high bridge after rhinoplasty(nose surgery); the tip of your nose is excessively sharp; seriously shifting implant or implant transparency; and your nose implant is collapsed or you have an inflamed nose after rhinoplasty(nose surgery). Revision rhinoplasty(nose surgery) requires much more advanced techniques and experience than rhinoplasty(nose surgery) so you are advised to get revision rhinoplasty(nose surgery) from our well-experienced surgeons.

For those who are considering to receive Nose Revision (Revision Rhinoplasty)

The majority of individuals who have received primary rhinoplasty forgo getting revision rhinoplasty because they think it is too risky to try. More likely, they don’t trust revision rhinoplasty itself due to the disappointment and distrust about rhinosurgery that they developed from the failure of their primary surgery. However, we strongly recommend you to rid yourself from this mindset and to regain confidence and trust in revision rhinoplasty.

Operation time of Nose Revision (Revision Rhinoplasty)

Whatever your reasons for wanting to receive revision rhinoplasty, we recommend a patient to get this surgery within 1~2 weeks after their primary rhinoplasty(nose surgery). Otherwise, he or she may have to wait at least 6 months (even over 1 year depending on your health condition) before undergoing extensive surgery. The reason for these few months of waiting are to give enough time until your nose tissue have calmed and have become soft.

There are several scenarios when you should take revision rhinoplasty right after the primary rhinoplasty(nose surgery), which are as follows

  • 01Inflamed nose (infection)
  • 02Uneven implant (deviated implant)
  • 03The top and/or the tip of your nose has severely turned into red and your nose skin has become excessively thin
We recommend Nose Revision (Revision Rhinoplasty) to
  • 01Those whose implant is slanted, shifting or transparent
  • 02Those whose tip or top of nose turns red
  • 03Those whose implant is excessively distinctive
  • 04Those whose nose is inflamed
  • 05Those whose nose turns into a snub nose or the length of nose is shortened
Types of Revision

01Slanted implant

We will remove the slant implant, which doesn’t fit to your nasal base, and the readjusted implant will be inserted into your nose. However, if your nasal skin became thin, then we will operate by returning your nasal skin to its original thickness. The thin skin will be augmented with dermis, corium or fascia.

02Snub nose (upturned nose)

For upturned nose surgery, using either cartilage grafting techniques of nasal septum or rib cartilage grafting techniques can bring a very positive result. This surgery releases the agglutination between all scarred tissues and separates the capsular tissues, pulls the cartilage of the nasal tip downwards to a proportional length and position, and fixes the tip through use of nasal cartilage or rib cartilage.

03Demarcation of the implant on sides

The demarcation of the implant on the bridge of the nose is sometimes distinctive, especially when smiling. We revise this situation by extending the length of the detached implant from the nose and grinding the tip of the implant to be thinner in order to not to give a burden on the tip of the nose.

04Experiencing side effects due to injection of illegal substances

It is impossible to thoroughly remove illegal substances, however, we try our best to remove the substances to the maximum extent possible. Then we operate autoplasty, usually using dermis fat or chest cartilage.
The level of the surgery is determined based on the conditions of the diffusibility of illegal substances. This surgery involves an advanced level of operation and requires an abundance of experience and expertise. You are advised to receive this surgery from a well-experienced and skilled surgeon.

Side effects of injection of illegal substances

Many individuals have received injections of illegal substances injection from quack doctors (illegal doctors). These practices were prevalent in the past, but still occur even today. Even though the quacks say that they use collagen or botox injections, they actually use silicone or paraffin injections. Both silicone and paraffin can easily be spread to your tissue once these are injected into your body, thus it is very difficult to remove them. Although you don’t see any problems initially after the illegal injection, the side effects can suddenly occur a few years or tens of years later. You should never receive any of these kinds of injections of illegal substances. The side effects include inflammation, discoloration of skin, tissue necrosis, falling out of illegal substances, causeless headaches, and more.

05Hump nose has reoccurred

It is possible that the bridge of the nose reverts back to an aquiline state or the nasal tip turns low or becomes slanted.
We operate by cutting the muscle (depression of nose tip muscle), which pulls down the nasal tip, inside of the short nasal columella.

06Excessive removal of hump nose

Your nose can have a deep set as a result of excessive removal of nasal bone or nasal cartilage during rhinoplasty. This sunken area can be filled with autoplasty of cartilage or dermis transplantation.

07Can’t make pig-like nose or rigid nose tip

In case the implant is filled up to the nasal tip, you can’t make a pig-like nose or the nose tip becomes rigid.
It is important to maintain the natural nasal tip and for this, any kinds of implants should never be inserted up to the nasal tip.

08Allergic reaction to silicone

Silicone allergy would be a rare occurrence. The allergic reaction can appear as swelling of nasal tip or glabella; repeated swelling and decreasing; the swelling area becomes soft and mushy; and the surgical areas turn to red.
In these cases, the silicone in your nose should be removed and replaced with safe new materials or autoplasty.

09Inverted V Deformity

This refers to an upside-down V-shaped indentation between the end of the nasal bones and the start of the upper lateral cartilages, along the top of the bridge. The main cause of inverted V deformity is the result of following hump removal in rhinoplasty, the upper lateral cartilages has fallen against the septum and this valve has become significantly narrowed. Other than this reason, most other cases are the result of wounds. This can be corrected by transplanting cartilage of nasal septum.

10Collapsed tip of the nose (cartilage of the nasal tip)

If the side cartilage of the nose collapses during inspiration (breathing in), it causes breathing difficulties as the nostril is being blocked. This surgery is performed for nose function rather than aesthetic purposes. To raise the drooping tip of the nose, a part of the ear-cartilage is implanted to provide nasal tip support.

11Excessively high or low bridge

The height of the nose bridge can be readjusted if a patient is dissatisfies for a personal reason. It is a comparably easy and simple operation amongst other revision rhinoplasty surgeries.

12Dissatisfactory appearance of profile line

Some individuals prefer a straight-edged shape of nose and some others prefer a turned-up nose.
If a patient isn't satisfied with his/her profile line shape of their nose, by simply readjusting the implant, the correction can be conducted. However, some cases have to be accompanied with the surgery of raising or lowering of nasal tip.

The nasal tip revision requires diverse surgical experiences and skills of surgeon.

※ You are required to pay special attention to yourself in order to care for any complications, including bleeding, inflammation and infection, following the operation.

JW’s Strengths of Lateral Canthoplasty

JW performs highly qualified Nose Revision (Revision Rhinoplasty) based on an abundance of surgical experiences and expertise of JW’s Revision Rhinoplasty team.

  • 01Free 1:1 consultation system
  • 02Precise local anesthesia that reduces pain
  • 03Broad surgical experiences and expertise will provide you with a satisfactory result of the operation
  • 04Ongoing revision rhinoplasty research through active academic activities
JW’s Nose Revision (Revision Rhinoplasty)
  • 01Postoperative treatment system in order to prevent 2nd revision surgery
  • 02We provide not only postoperative pain treatment but also special treatment after anesthetic operation
  • 03Free 1:1 consultation system
  • 04Detailed surgical planning that considers a patient’s nose shape for the next 10 years
  • 05Ongoing revision rhinoplasty research through active academic activities
  • 06Broad surgical experiences and expertise will provide you with a satisfactory result of the operation

JW makes every single preoperative preparation on the same day of the operation for our customers’ convenience.

Nose Revision (Revision Rhinoplasty)
Preoperative and postoperative treatment

01Preoperative preparation

  • 01You must stop taking blood clot and thrombus related medications, including oral contraceptive pills, hormone drugs, vitamin E and aspirin, at least 2 hours before an operation. If you are undergoing treatment for high blood pressure, heart disease, diabetes and thyroid disease, you must inform your doctor or consultant prior to surgery.
  • 02Stimulants in cigarettes or tobacco can cause phlegm or sneezing and can lead to bleeding after an operation, therefore, we advise you to stop smoking for 3 days before an operation.
  • 03Additionally, if you have a serious cold on the same of an operation, your trachea and respiratory organs could be abnormal, thus you should inform about your body condition to your doctor or consultant prior to surgery.
  • 04We recommend you to clean your body with a mild soap on the same day of an operation in advance. Also, you must remove your contact lenses, accessories made of precious metal, nail polish and make-up, which can interrupt the operation, before you visit the hospital.
  • 05You must stop eating any foods at least 12 hours before an operation.
  • 06We recommend you to wear comfortable clothes, which won't stimulate the surgical areas, facial mask, a cap/hat and sunglasses. We also recommend you to commute to here by public transportation and accompany with a guardian.

02Postoperative treatment

  • 01Place the surgical areas higher than your heart in order to help to reduce swelling.
  • 02Please apply an ice pack around the surgical site for 3 days after an operation, and then apply a warm pack around the site after the 3 days.
  • 03Please avoid severe friction and acupressure massage around a surgical site at least for 1 month after an operation, and only use a sauna or hot bath after 1 month from the operation day.
  • 04Please avoid drinking alcohol and smoking, which may delay the recovery of your scars from an operation, at least 4 weeks after an operation
  • 05Light exercise such as light walking is allowed to do from the right after an operation, however, heavy exercise such as aerobic, tennis, swimming, and etc. should be avoided at least 3~4 weeks after an operation
Please note: In regards to before and after photos on this site, results may vary depending on each patients' individual case