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Four Seasons EVENT

REVISION SURGERY

Revision Eye and Nose Surgery

Revision Rhinoplasty:
Pinpointing the exact cause of the problem
is the right first step.

Treatment Guide

Revision Rhinoplasty · Revision Eye Surgery

Dr. Jegal Jeong⁠-⁠jae, Chief Director — Board-Certified Plastic Surgeon

Chief Director Jegal Jeong⁠-⁠jae

Dr. Jegal Jung Jae

FOURSEASONS · PLASTIC · SURGERY

#Doctor's SAY

The nose is one of the areas where internal structure greatly affects outward appearance.

For this reason, if the internal structure of the nose is not properly corrected, complications can recur even after revision rhinoplasty.

It is best to have surgery with a medical team that understands the anatomical structure of the nose well.

When Revision Rhinoplasty
Is Needed

The most common reasons for revision rhinoplasty are complications of cosmetic surgery, such as inflammation and structural deformity, and dissatisfaction with conditions that arise after surgery.

  • Side-view nose diagram showing a sunken nasal tip, marked with a downward arrow

    Sunken nasal tip

    01

  • Side-view nose diagram showing an implant protruding outward from the nasal bridge

    Protruding silicone implant

    02

  • Side-view nose diagram with a dotted line showing the implant outline visible beneath the skin of the nasal bridge

    Visible implant

    03

  • Side-view nose diagram with a double-headed arrow showing the implant shifting from side to side

    Shifting implant

    04

  • Side-view nose diagram with a rotation arrow showing the nasal tip lifted upward by contracture

    Nose lifted by contracture

    05

  • Front-view nose diagram comparing a tilted columella with a dotted center axis

    Uneven nostrils and crooked columella

    06

  • Front-view nose diagram with outward arrows showing the nasal bridge spreading sideways

    Flat, wide nasal bridge

    07

  • Bottom-view nose diagram showing nostrils that are overly visible from the front

    Excessive nostril show

    08

  • Side-view nose diagram showing a dorsal hump that bulges in the middle of the bridge

    Uncorrected dorsal hump

    09

Why Revision Rhinoplasty Is Difficult

Because of a failed first nose surgery, patients often feel a strong distrust of doctors and are frequently doubtful.

Compared with first-time patients, earning the patient's trust and understanding is
what makes revision rhinoplasty difficult.

White line icon representing tissue damage 01

Tissue Damage

The nose has tissue damage from past surgery. The cartilage that supports the nose may be damaged, but more often the skin has become thinner because of the implant.

White line icon representing wound healing 02

Wound Healing

Wound healing at the surgical site can be slow. Scar tissue formed after the first surgery makes the procedure more difficult, and reduced blood circulation during recovery is the reason.

White line icon representing accurate analysis 03

Accurate Analysis

Implants were often used in the first surgery, and in these cases an accurate analysis of the nose is difficult.

Revision Consultation

The Right Timing
for Revision Rhinoplasty

Smiling female model touching her jawline with her fingertips against a bright background
3 months 6 months
01

After 6 Months

In general, the best time for revision rhinoplasty is 6 months or more after surgery, once the tissue at the surgical site has softened. For augmentation rhinoplasty to raise the nasal bridge, revision is possible even within 3 months of surgery.

02

After Inflammation Subsides

If inflammation develops, it is best to remove the implant first, confirm that the inflammation has completely subsided, and then perform the revision surgery.

03

After Careful Consideration

Because tissue damage is greater than in the first surgery, it is best to decide only after careful consideration. Overly aggressive correction may lead to yet another revision, so it is wise to make a careful decision with safety in mind.

Female model smiling with both hands folded under her chin against a light background

In Revision Rhinoplasty,
What Matters Most

Having revision rhinoplasty does not automatically mean a better result. Because revision surgery is far more difficult than primary surgery, it is hard to achieve a result you are truly satisfied with unless the decision is made carefully. To minimize dissatisfaction after revision rhinoplasty, a careful 'plan' before surgery is essential.

  1. Female model gesturing with a raised hand as she explains — a patient describing her surgical history

    Patient

    01

    Patients should talk thoroughly about their previous surgical history and the areas they want to improve.

  2. Our director measuring a patient's nose with a caliper to make a diagnosis

    Diagnosis

    02

    The doctor must listen carefully to the patient and be able to make an accurate diagnosis.

  3. Medical staff marking and preparing the surgical plan

    Planning

    03

    The doctor must share a realistic, reasonable goal with the patient and establish a precise surgical plan.

  4. Female model resting her chin on her hand in careful thought — a patient deciding whether to have surgery

    Decision

    04

    The decision on whether to have surgery should be made not by the doctor, but by the patient through their own careful judgment.

Choosing autologous tissue for a safe result

Materials Used in Revision Rhinoplasty

When an implant has caused problems, autologous tissue can be used in its place for revision surgery. Because it is your own tissue, it feels less foreign and more natural, and the likelihood of side effects can be kept to a minimum.

However, autologous tissue must be harvested in addition to the revision rhinoplasty itself, so the surgery time may be longer.

Diagram of a nose cross-section with the septal cartilage harvest area marked in red

Septal Cartilage

01

The most efficient material for rhinoplasty. It is flat and free of curves, making it the best material for shaping the nasal tip and columella.

Ear diagram with the ear cartilage harvest area marked in red

Ear Cartilage

02

Ear cartilage has soft, elastic properties and is well suited to reinforcing the shape of the nasal tip. (When ear cartilage was not used in a previous surgery)

Chest diagram with the 6th and 7th rib cartilage harvest area marked in red

Rib Cartilage (6th and 7th Cartilage)

03

A large amount of rib cartilage can be harvested, and it is firm and strong, making it a good option when septal cartilage is insufficient.

Diagram of the buttock area with the autologous dermis harvest site marked in red

Autologous Dermis (Buttock Area)

04

A suitable material for thin skin. Although 15~30% may be absorbed, it feels less foreign and allows a natural shape.

15% 30%
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Revision Surgery
Consultation Guide

Revision rhinoplasty involves many possible scenarios, and surgical methods differ greatly. It is best to set a realistic goal and decide only after talking at length with a board-certified plastic surgeon about the surgical method and the expected results.

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Main Phone

051-806-7979

Hours

Weekdays
10:00 - 19:00
Saturday
10:00 - 17:00
Lunch Break
13:00 - 14:00

Directions

8F, Main Building, Judis Taewha, 694 Jungang-daero, Busanjin-gu, Busan
(Parking at the Judis Taewha New Building)