Correction of an Upturned Nose and Pinched Tip Caused by Silicone Contracture
A "contracted nose" is a condition in which, after rhinoplasty with silicone, a chronic inflammatory response around the silicone
causes the capsule and scar tissue to thicken and the skin to shrink, so that the tip cartilages are gradually pulled upward.
When the tip cartilages are pulled upward by contracture in this way,
the nose not only becomes shorter, but the tip cartilages are also crushed together and deformed into a pinched shape.
Therefore, in correcting a contracted nose,together with the upturned nose,
pinching of the nasal tip (a pinched nose) must also be carefully assessed and corrected.
CCContracted Nose
PH
20 years ago: augmentation rhinoplasty with silicone at another clinic
▶ Afterward, tenderness and a tightening sensation around the glabella. Visible nostrils and dissatisfaction with the shape
4 years ago, at a clinic in Gangnam: silicone for the nasal bridge + septal cartilage for the tip (columellar strut, tip onlay)
▶ The nose looked good after surgery but gradually became shorter.
▶ From 1 year after surgery, swelling and pain at the glabella (6-7 episodes). Severe inflammatory reaction 15 days ago, with swelling extending to the eyes.
P/E
·The silicone on the dorsum has migrated upward, and the outline of the implant is visible.
·The capsule and scar tissue are thick, so the nasal bridge is wide and bulky.
·In the photo on the right, the nostril is pulled upward and looks elongated and pointed, and the phenomenon known as notching is also seen.
In the lateral view, the columella is flat and the nasal tip is pulled markedly upward.
This was a typical "contracted nose," and it was improved by removing the silicone, the thickened capsule, scar tissue, and other materials.
A thick capsule covers the area around the silicone, and the tip cartilages have been drawn together and narrowed.
▶ This gives the nasal tip a pinched appearance (pinched tip).
The photo on the right shows the nose after all of the silicone and capsule were removed to resolve the problem.
- Separating the deformed tip cartilages, which were entangled with each other and with scar tissue
- After a butterfly graft using ear cartilage
The dorsum and tip, which had been bulky and unnatural because of contracture, have become slimmer.
The excessive nostril show has also been naturally concealed as the nose lengthened, and the notching is gone.
The nasal tip, which had been pulled up into a point, has been released and has settled naturally.
By removing the silicone implant, which had migrated upward because of contracture, and the capsule,
the dorsum has become slim and relaxed.
The nasal tip has come down and lengthened, correcting the upturned nose, and the dorsal line has also become natural.
In the lateral view, the previously upturned nose has clearly come down.