Contracted Nose Revision | VVLY Plastic Surgery

About Contracted Nose

What is a Contracted Nose?

What is a contracted nose?

A contracted nose refers to a condition where, after an implant is placed, the surrounding capsule thickens or the tissue contracts, causing the nose to shorten, the tip to turn up, or the nose to feel hard.

Contracture can result from a combination of several causes — repeated inflammation, excessive dissection, and individual tissue reactions. Simply reinserting an implant alone can leave a burden of recurrence, so VVLY first considers removing the cause and letting the tissue recover.

Because contracted-nose revision is a high-difficulty procedure, VVLY carefully analyzes the nasal structure and prior surgical history together, taking a careful approach centered on the patient's own tissue. Results may vary by individual.

VVLY Signature

BESPOCO^®

Bespoke + Nose — A nose that is uniquely yours

BESPOCO is VVLY's own custom rhinoplasty signature.
Rather than a one-size-fits-all implant, we analyze your facial bone structure and skin
to design a nose that exists nowhere else, using either a 3D-printed custom implant
or an autologous diced rib cartilage graft.

01

3D Custom Implant

Custom 3D Implant

After precisely scanning your nasal bone structure with a CT scan, we use an implant 3D-printed for you alone.

Individually made to match your nasal bone shape — reduces the chance of shifting or displacement
Thickness and curvature designed to match your skin thickness
A natural line that reduces the risk of show-through or deformation
Can also correct left-right asymmetry

Recommended for Those with a crooked or noticeably asymmetric nasal bone, or those worried about show-through due to thin skin

02

Diced Rib Cartilage

Diced Rib Cartilage Graft

One natural approach that finely dices and grafts the patient's own rib cartilage. Because it is your own tissue, it feels less foreign and carries a lower burden of rejection.

Being your own tissue, it is stable long-term with a low burden of rejection
Dicing gives a natural curve and a soft feel
Designed to reduce the risk of contracture or deformation
A direction well suited to revision and contracted-nose cases

Recommended for Those concerned about implant side effects or contracture, those who need revision surgery, or those who prefer their own tissue as material

BESPOCO Process

01

Precision CT Scan

3D data of the nasal bone and surrounding structure

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02

Digital Design

Optimal line design matched to your facial proportions

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03

3D Printing / Processing

Custom implant fabrication, or dicing of rib cartilage

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04

Precision Surgery

Performed personally by Dr. Kim Jihun, Medical Director

Book a BESPOCO Consultation →

Surgeon

Kim Jihun, Medical Director · Board-Certified Plastic Surgeon

Specializing in rhinoplasty, he considers the proportions of the nose and the whole face together to build a surgical plan suited to each patient's individual structure.

View Medical Team Profile →

Indications

We Recommend a Consultation If Indications for contracted-nose revision

I.

Turned-Up Tip · Shortened Nose

Those who feel the nose has turned upward or shortened after an implant was placed

II.

A Nose That Feels Hard

Those whose bridge or tip feels firm to the touch and moves unnaturally

III.

Implant Show-Through · Visible Contour

Those whose skin has thinned so the implant's line shows or can be felt

IV.

Recurring Redness · Inflammation

Those whose nasal tip frequently reddens or shows repeated inflammation

V.

Warping · Deformation

Those whose nose has warped to one side or changed shape over time

VI.

Want Reconstruction with Own Tissue

Those who want to reduce reliance on an implant and rebuild with their own tissue

Procedure Steps

Contracted Nose Revision Process From cause diagnosis to reconstruction

01

Precise Diagnosis

Checks the degree of contracture, any inflammation, and prior surgical history, and analyzes the nasal structure.

02

Implant Removal · Treating Inflammation

Removes the existing implant and contracted capsule, and treats any inflammation at the same time.

03

Reconstruction with Own Tissue

Uses the patient's own tissue, such as autologous costal cartilage, to redesign the nose's support and length.

04

Aftercare

Recovery is monitored together through swelling care and regular checkups.

Surgery Information

Surgery Information Duration · recovery period · anesthesia method

Duration

About 2–4 hours (varies by degree of contracture)

Anesthesia

Sedation

Stitch Out

5–7 days after surgery (adjusted by situation)

Recovery

Daily life in 1–2 weeks; swelling may take longer given this is a revision procedure

Hospitalization

Same-day discharge possible (varies by case)

Materials

Autologous costal cartilage / other autologous tissue / dermis, etc. — decided per case

Before & After

Contracted Nose Cases Real patient transformations

View Revision Cases →

※ These photos are published with patients' prior consent in accordance with Korea's Medical Services Act Article 56. Results may vary by individual.

F.A.Q

Frequently Asked Questions About contracted-nose revision

Q.Why does a contracted nose happen?+

It's a condition where the capsule around an implant thickens or the tissue contracts, causing the nose to shorten and the tip to turn up. Repeated inflammation, excessive dissection, and individual tissue reactions can all play a combined role, so it's important to identify the cause together before revision surgery.

Q.Is a contracted nose rebuilt using only the patient's own tissue?+

Depending on the condition, the existing implant is often removed and reconstruction is centered on the patient's own tissue, such as autologous costal cartilage. However, the method varies with the degree of contracture and tissue condition, so it is decided individually after diagnosis.

Q.Can the contracture happen again?+

Contracture varies by individual, so the possibility of recurrence cannot be completely ruled out. That's why VVLY prioritizes removing the cause and stabilizing the tissue over simply reinserting material, and follows the progress closely through aftercare.

Q.When is the right time for revision surgery?+

If there is inflammation, stabilizing it comes first. Surgery is generally done after a sufficient recovery period from the previous surgery, but if pain or deformity is progressing, the timing can be moved up depending on your condition — this is decided after a consultation.

Q.How long does recovery take?+

Because it's a revision procedure, swelling can last longer than after a first surgery. The splint is usually removed after about 5–7 days, and daily life is generally possible within 1–2 weeks, though the time for the shape to settle naturally varies by individual.

Contracted Nose