Abstract
Revision rhinoplasty in Asian patients is associated with problems related to the
use of grafts or implant materials. Moreover, the septal cartilage of Asian individuals
is generally weak and small, which makes it particularly vulnerable to injury or secondary
deformity during primary surgery. Hence, there is an increased demand for major reconstruction
of the septal cartilage framework during revision surgery in Asian patients. In revision
rhinoplasty of the nose in Asian patients, appropriate management of the graft or
implant is vital. The common problems resulting in the need for revision surgery include
displacement, malposition, extrusion, recurrent inflammation, and infection of dorsally
implanted alloplastic material. A short-nose deformity following silicone rhinoplasty
is also a common problem that is difficult to manage. Furthermore, residual or recurrent
deviation of the deviated nose, undercorrection of the convex nasal dorsum, and tip
graft-related complications are frequently encountered problems that require revision.
In revision rhinoplasty for Asian patients, autologous tissues, such as conchal cartilage
and costal cartilage, play a pivotal role for use as a new dorsal implant or building
block for major septal reconstruction. Therefore, it is imperative for surgeons to
familiarize themselves with the appropriate use of autologous tissues, particularly
costal cartilage.
Keywords
dorsal implant - major septal reconstruction - costal cartilage
