What Is a Contracted Nose?
A contracted nose is a condition in which the nasal tissues become firm and tight,
causing the nose to shrink and the nasal tip to be pulled upward.
As a result, the nose may appear shorter, and deformities of the skin and nostrils may develop.
The internal nasal structures may also become damaged or distorted.
Capsular contracture is a common complication associated with artificial nasal implants,
particularly silicone implants.
It may result from tightening of the scar capsule surrounding the implant, implant exposure or extrusion,
chronic inflammation, or a long-term foreign-body reaction.
구축코는 코가 딱딱해지고 쪼그라드는 것을 말합니다.
코끝이 들려 올라가면서 코의 길이가 짧아지게 되고
피부 및 콧구멍 변형, 코의 내부 구조 손상 등을 동반합니다.
구축은 실리콘과 같은 인공 보형물을 사용한 후 나타나는
대표적인 부작용 사례 중 하나입니다.실리콘 캡슐(capsule)의
수축이나 보형물의 돌출, 염증, 그리고 장기간의 이물반응 등이
원인이 될 수 있습니다. 또한 잘못된 코성형수술이나
여러 번의 반복된 수술 후에도 나타날 수 있고 수술 후
잘못된 관리로 인하여 발생할 수도 있습니다.
구축코는 대개 피부에 탄력이 없고, 내부 구조물의 손상이
심한 경우가 많습니다. 심한 경우에는 비중격 전체가
결손된 경우도 있으며 코의 측면을 받쳐주는 연골 또한
일부 혹은 전체가 결손된 경우도 있습니다.
1
Your nasal tip has gradually become shorter and firmer following nasal implant surgery.
2
Your nose has contracted, resulting in noticeable changes or deformities of the nostrils.
3
You experience difficulty breathing due to damage or distortion of the internal nasal structures.
4
You have persistent nasal inflammation associated with a previously inserted implant.
Our Surgical Approach to
Contracted Nose Correction
To lengthen a short, contracted nose and reconstruct damaged internal structures, a sufficient amount of strong
graft material is required. Autologous costal cartilage, harvested from the patient’s own rib,
is generally preferred for this purpose. Donor rib cartilage or Medpor may also be used for structural support,
but autologous costal cartilage is more resistant to future inflammation and contracture.
Using the Patient’s Own Tissue Whenever Possible: We prioritize the patient’s own tissue, including rib cartilage, to rebuild a stable nasal framework.
Skin and Soft-Tissue Correction: Scar tissue is carefully released to allow the skin and nasal mucosa to return to a more natural position.
If necessary, additional refinements may be performed in a secondary procedure.
To lengthen a short, contracted nose and reconstruct damaged internal structures, a sufficient amount of strong
graft material is required. Autologous costal cartilage, harvested from the patient’s own rib,
is generally preferred for this purpose.
Donor rib cartilage or Medpor may also be used for structural support,
but autologous costal cartilage is more resistant to future inflammation and contracture.
Using the Patient’s Own Tissue Whenever Possible: We prioritize the patient’s own tissue, including rib cartilage, to rebuild a stable nasal framework.
Skin and Soft-Tissue Correction: Scar tissue is carefully released to allow the skin and nasal mucosa to return to a more natural position. If necessary, additional refinements may be performed in a secondary procedure.
Silicone
Silicone is the most commonly used artificial nasal implant and is primarily used to augment the bridge. It causes relatively little change or foreign-body reaction in the body and is easy to shape and remove. It may be recommended for patients with thick nasal skin or those who want a more defined bridge. Because silicone is a foreign material, infection or inflammation may occur, and the implant may shift or protrude if it is not properly secured. Other possible complications include capsular deformity, visibility, calcification, and contracture.
Expanded Polytetrafluoroethylene (ePTFE/Gore-Tex)
This material has a microporous structure that allows surrounding tissue to grow into it, which can provide stable fixation. It is softer than silicone and may create a more natural-looking bridge with less visible implant outlining. As with any foreign material, infection or inflammation may occur. Tissue ingrowth can also make removal more technically challenging.
Acellular Dermal Matrix (AlloDerm, MegaDerm, etc.)
This material is processed from donated human skin to remove cells while preserving the supporting dermal matrix. It is commonly used to reinforce thin skin, camouflage visible implants or cartilage, and smooth contour irregularities after removal of foreign material. Limitations may include cost, partial absorption, and, rarely, redness or an inflammatory reaction.
Septal Cartilage
Septal cartilage can be harvested during rhinoplasty without creating an additional donor-site scar. Its thickness and strength make it well suited for structural nasal support, and a partially deviated septum may also be corrected during harvesting. Excessive harvesting can cause a saddle-nose deformity, septal hematoma, abscess, or perforation. To help prevent deformity, Kobijou Clinic preserves more than 1.5 cm of the upper and front portions of the septum and uses mattress sutures or silicone splints to help prevent hematoma and perforation.
Ear Cartilage
Ear cartilage is relatively easy to harvest, and the incision can usually be concealed behind the ear. Its soft, naturally curved shape makes it useful for creating a smooth nasal-tip contour. Because it provides less structural strength and may bend or warp, Kobijou Clinic may layer opposing curves of cartilage using a sandwich technique when additional stability is needed.
Autologous Costal Cartilage (Rib Cartilage)
Rib cartilage may be used when the septal or ear cartilage is insufficient, particularly after multiple surgeries or when strong structural support is required for conditions such as severe contracture or cleft-related nasal deformity. It provides a large amount of strong cartilage and can also be used for bridge augmentation when appropriate. Potential considerations include a firmer nasal tip, warping, calcification, and a scar at the donor site.
1
If you have high blood pressure or diabetes, please inform out medical staff in advance and continue taking your prescribed medication as directed
2
Please avoid alcohol and smoking for at least one week before surgery.
3
Please remove contact lenses and all nail polish from your fingernails and toenails before arriving at the clinic.
1
The surgical tape helps protect and stabilize the treated area. Do not remove it without consulting the medical team.
2
Depending on the surgical techniques, you may experience mild swelling, bruising, fluid drainage, or minor bleeding around the nose may occur.
These symptoms usually improve gradually over within 2-3 days after surgery.
3
Avoid touching, pressing, or massaging your nose for 2–3 weeks after surgery, as this may interfere with healing or affect the position of the reconstructed structures.
4
Use cold compresses for the first 2–3 days after surgery. After that, switch switch to warm compresses. Wrap the pack in a clean, dry cloth and avoid applying it directly to the skin.
5
Starting 2–3 days after surgery, taking a warm half-body bath or warm foot bath may help reduce swelling.
6
Alcohol and smoking may delay healing and should be avoided for at least one month.
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