2026-05-25
Revision Rhinoplasty for L-Shaped Implant!
A case study of a female patient in her 30s undergoing revision rhinoplasty to correct a drooping columella and thinning skin caused by an old L-shaped silicone implant.

* Basic Information
# Female in her 30s
# History of L-shaped silicone implant surgery several years ago (+)
# The nasal tip is too bulbous and the columella is drooping, making the nostrils overly visible.
* Consultation
# A CT scan performed before surgery confirmed that the L-shaped implant extended long into the nasal tip.
# The implant was causing the nasal tip to look blunt and, in particular, making the columella appear saggy.
# Since the skin at the nasal tip had become very thin, we planned to reinforce the skin thickness using soft tissue and dermis in the thinned areas.
* Surgical Plan
# Nasal Tip Plasty (Reinforcing thinned skin, septal extension graft)
# Bridge Rhinoplasty (Implant replacement)






* Surgical Findings
# After removing the implant while preserving as much skin as possible, the thinned skin was reinforced with cartilage and soft tissue.
# The nasal tip cartilage had been severely compressed and distorted by the implant. We focused on reconstructing it to its original state as much as possible.
# By correcting the drooping columella caused by the implant pressing down on the tip cartilage, the nostrils have also become less visible!
# When performing revision surgery, it is crucial to establish a perfect plan and prepare thoroughly beforehand. One must consider various variables in advance to respond flexibly to unexpected situations that may arise during surgery!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE that comes from rich experience.
Dr. Young-moon Yu, Head Physician at VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual, so caution is required.