How to Safely Remove Foreign Substances After Rhinoplasty Requiring Revision Surgery

Rhinoplasty is highly popular because it can dramatically transform one's image.

However, since it is a surgery performed on a central facial organ, and in many cases involves the insertion of implants,

side effects are also common.

Many people suffer from side effects caused by inappropriate foreign substances used during nose procedures.

So, what is the best way to remove foreign substances from the nose?

Is it possible to safely remove foreign substances from inside the nose?

Foreign substances used during nose surgery that cause serious problems

are often derived from implants that are no longer used in the medical field due to various issues.

In illegal surgeries, commonly known as ‘back-alley’ procedures,

paraffin or liquid silicone used often remains for decades.

Occasionally, there are also cases where people experience foreign body reactions after receiving non-dissolving fillers in unapproved countries.

In the initial stages, these foreign substances may not cause any particular problems,

or if problems do arise, they progress very slowly. Therefore, in the early stages after surgery,

people often do not realize there is an issue and decades pass.

Cases of patients seeking medical attention due to illegal implants often involve

the nose gradually becoming lower and coarser over time, leading people to seek a change in shape.

Alternatively, some visit because their nose has become red or painful,

experiencing abnormalities in their nose. These can be broadly divided into two categories.

To resolve foreign substances in the nose with surgery:

Many people whose nose shape has become low and coarse due to foreign substances

tend to think of the surgery as simple.

They assume that the problem of raising the nose will be solved like a typical rhinoplasty

and visit, expecting a simple method.

However, if these cases are approached with typical rhinoplasty methods,

there is a possibility of future problems. Therefore, it is very difficult to approach it in the same way as a typical

rhinoplasty using implants.

In such cases, we recommend surgery to remove the foreign substance and then fill the removed space with the patient's own

tissue or perform cartilage grafting.

Ironically, however, many people who visit the hospital with dissatisfaction regarding their nose shape

do not feel that they have any problem themselves. They often do not want the removal of the foreign substance, which is the root cause of the problem, and live carelessly,

only to visit when they feel an abnormality in their nose, making resolution often difficult.

People who visit due to problems caused by foreign substances often report that the area where the foreign substance was inserted

becomes red, painful, or experiences daily fluctuations in swelling,

and they are concerned about the nose shape changing little by little.

Unable to discuss their nose with others, they visit other hospitals

and attempt to alleviate symptoms with general drug treatments. However, due to persistent problems,

they eventually decide on surgery and visit our clinic.

In such cases, we perform surgery to remove as much of the problematic foreign substance as possible and replace it with the patient's own tissue.

Foreign substances in the nose may not be removed in a single procedure?!

Instead of performing surgery in one go, it is usually done in 2-3 stages.

Because scars and inflammation caused by the foreign substance are concentrated in the area where it was inserted and its surroundings,

when removing the problematic part in the first surgery, normal tissue may also have to be removed.

Therefore, in the first surgery, the foreign substance is removed, and the surrounding scar tissue and inflammatory tissue are preserved as much as possible, followed by another surgery.

The goal of foreign substance removal surgery is to complete it with as few problems as possible,

so it is best to proceed in stages.

After the first surgery, injection therapy and medication to reduce scarring are performed together.

Typically, after the first surgery, we wait until the surrounding tissue settles,

and consider a second surgery about a year later.

When proceeding with the second surgery, reconstructive surgery using autologous tissue is performed.

If the foreign substance removal is insufficient when considering the second surgery, foreign substance removal may be performed again.

For autologous tissue, dermal fat grafting is usually recommended,

and if necessary, septal cartilage,

ear cartilage, or rib cartilage may be used to shape the nose.

When performing foreign substance removal and reconstructive surgery,

sufficient time is taken to plan the surgery.

It must be approached differently from general rhinoplasty or revision rhinoplasty.

Rather than simply removing the foreign substance,

it is important to preserve the surrounding tissue as much as possible and help the nose shape settle.

Therefore, it is crucial to take sufficient time and approach it in stages.

Most abnormal symptoms improve significantly after the first surgery,

but sometimes the nose may become lower, making the shape worse.

However, since surgery to refine the shape will be planned later, patients need to have a relaxed mindset.

Foreign substance removal surgery involves a long waiting period and is a highly complex procedure.

Therefore, it is recommended to plan the surgery well and proceed after thorough consultation with a specialist.

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Frequently Asked Questions

When do foreign body side effects appear after rhinoplasty?

Foreign body side effects often pass without special problems initially or progress very slowly, so they are not recognized in the early stages of surgery and often go unnoticed for decades.

Is foreign body removal surgery in the nose completed in one go?

No, foreign body removal surgery in the nose is usually performed in 2-3 stages rather than in a single procedure. After the first surgery, a second surgery is considered after about a year.

How is the nose shape reconstructed after foreign body removal?

After foreign body removal, we recommend surgery to fill the removed space with the patient's own tissue or to graft cartilage. Dermal fat grafting, septal cartilage, ear cartilage, or rib cartilage are mainly used.

Can the nose shape worsen after foreign body removal surgery?

Yes, after the first surgery, the nose may become lower, temporarily making the shape worse. However, since reconstructive surgery to refine the shape will be planned later, it is necessary to have a relaxed mindset.

What foreign substances cause rhinoplasty side effects?

Mainly paraffin or liquid silicone used in illegal surgeries, or non-dissolving fillers received in unapproved foreign countries, are causes of rhinoplasty side effects.

Is foreign body removal surgery different from general rhinoplasty?

Yes, it is very difficult to approach it simply as a problem of raising the nose, like general rhinoplasty. In foreign body removal, it is important to preserve the surrounding tissue as much as possible and help the nose shape settle, so a staged approach is necessary.