A Case of Secondary Augmentation Rhinoplasty with Dermofat Graft for Immediate Rhinoplasty Who Had a Fractured Nasal Bone

Kang, Moon Seok; Ha, Young In; Park, Eun Soo

Abstract

Augmentation rhinoplasty is one of the most common aesthetic procedures in Asian countries. For this procedure, a variety of implants are used. Nasal bone fracture is one of the common facial bone fracture, and patients who have nasal bone fracture often need secondary rhinoplasty because of certain complications such as nasal deviation and depression. Unfortunately, the management protocol has not yet been established. Depending on whether the previous implant is removed or not, therefore, this may lead to partial decompression of the nasal bone, mobility of the implant, or reposition of the implant. For these reasons, we corrected fractured nasal bone, removed silicon implants and capsules, and employed immediate secondary rhinoplasty with dermofat graft for the patient who had had rhinoplasty. The height and appearance of the patient's nose were maintained as before surgery. The patient appealed a little depression of the nasal dorsum, but was very satisfied with its natural appearance. There were no complications such as nasal tip deformity, chronic inflammation, or partial depression deformity. We report herein the usefulness of this procedure; doing non-invasive closed reduction, removing silicon implants, and employing immediate secondary rhinoplasty with dermofat graft of the patients who had rhinoplasty previously.