Page 20 - Read Online

Won et al. Plast Aesthet Res 2019;6:6 Plastic and
DOI: 10.20517/2347-9264.2018.82 Aesthetic Research

Review Open Access

Revision rhinoplasty using autologous rib cartilage
in Asians

Tae-Bin Won , Hong-Ryul Jin 2
1
1 Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam 13620, South Korea.
2 Dr Jin’s Premium Nose Clinic, Seoul 06524, South Korea.

Correspondence to: Dr. Hong-Rul Jin, Dr. Jin’s Premium Nose Clinic, Seoul 06524, South Korea. E-mail: doctorjin@daum.net
How to cite this article: Won TB, Jin HR. Revision rhinoplasty using autologous rib cartilage in Asians. Plast Aesthet Res 2019;6:6. http://
dx.doi.org/10.20517/2347-9264.2018.82

Received: 17 Dec 2018 First Decision: 13 Jan 2019 Revised: 31 Jan 2019 Accepted: 12 Feb 2019 Published: 22 Mar 2019

Science Editors: Hong Ryul Jin, Raúl González-García Copy Editor: Cai-Hong Wang Production Editor: Huan-Liang Wu

Abstract

A considerable part of revision rhinoplasty in Asians is associated with problems arising from the use of alloplastic
implants. Revising alloplast associated problems of the nose mostly requires the use pf autogenous grafting material to
minimize complications and maximize favorable outcomes. Although remnant septal cartilage and/or conchal cartilage
can be used, as the deformity becomes more severe, adequate revision requires more volume and strength of grafting
materials. Autogenous rib cartilage may be the most practical choice in these circumstances. In this review, common
causes of revision rhinoplasty in Asians are discussed together with operative techniques with emphasis on the use of
autologous rib cartilage.

Keywords: Rhinoplasty, Asian, revision, rib cartilage

INTRODUCTION
The increasing number of primary rhinoplasties coupled with heightened patient expectations, has led to
an increase of revision surgery. In a recent study of revision rhinoplasty in Asians, we have shown that most
revision rhinoplasties were associated with problems arising from the use of alloplastic implants, reflecting
[1]
the trend of using alloplastic implants in many Asian countries . Although studies and years of clinical
experience have proven that these implants can be used safely, incorrect surgical techniques coupled with
inappropriate patient selection, can cause an array of complications.

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

www.parjournal.net