Revision Rhinoplasty Structural Repair and Correction of Post-Operative Nasal Deformities

Revision rhinoplasty is among the most technically demanding procedures in facial plastic surgery. Whether caused by silicone implant complications, post-infection damage, scar tissue contracture, or unsatisfactory outcomes from previous surgery, nasal deformities following rhinoplasty require a fundamentally different approach from primary procedures.

At Dr. Gorn Aesthetique, we specialize in complex revision rhinoplasty using a 100% silicone-free approach — rebuilding the nasal framework with the patient's own cartilage harvested from the septum or rib. A critical part of our process is identifying hidden causes of failure from previous surgery — including undetected structural collapse, residual implant fragments, scar tissue burden, and underlying bone or septal deformities that may have been overlooked.

To uncover the true root cause, we recommend:

🔍 CT scan of the nose and facial bones — providing detailed cross-sectional imaging of bone structure, implant position, cartilage framework integrity, and any deep-seated deformities that cannot be detected through clinical examination alone. This is especially important in cases involving previous silicone implants, suspected implant displacement, or significant nasal deviation.

🔍 Intranasal endoscopic evaluation — allowing direct visual inspection of the internal nasal cavity, septal condition, valve integrity, and mucosal health. This assessment identifies functional and structural abnormalities inside the nose that may contribute to poor outcomes if left unaddressed during revision surgery.

Together, these evaluations ensure our revision strategy addresses not just the visible problem, but its structural root.

Common Revision Concerns We Address

▶️ Silicone implant removal — complicated by infection, exposure, or migration ▶️ Post-infection reconstruction — restoring soft tissue and structural integrity ▶️ Tip retraction or shortening — from scar tissue contracture after previous surgery ▶️ Stiff, column-like dorsum — unnatural bridge from previous onlay grafting ▶️ Deviated or asymmetric nasal axis — misalignment from prior surgery or trauma ▶️ Over-resected or collapsed nasal tip — loss of tip support after previous reduction ▶️ Dermofat reconstruction — soft tissue restoration using the patient's own tissue

Highlights — 100% silicone-free revision using septal or rib cartilage — Pre-operative CT scan and endoscopy to identify hidden causes of failure — Complete structural rebuilding for compromised nasal frameworks — Correction of tip retraction, asymmetry, and unnatural stiffness — Long-term structural stability with natural-looking results

Suitable For ✔ Revision cases following silicone implant complications, infection, or exposure ✔ Tip retraction, shortening, or collapse from previous surgery ✔ Unnatural or stiff dorsum from prior grafting or silicone implants ✔ Deviated or asymmetric nose following previous rhinoplasty or trauma ✔ Complex revision cases requiring comprehensive pre-operative imaging

Our revision rhinoplasty is managed by specialist physicians:

👨🏼‍⚕️ Dr. Suwin Somngeon (Medical License No. 22337) & Dr. Witsanu Jullamusi (Medical License No. 47752) — Facial Plastic Surgeons

Together, our surgeons provide precise, individualized analysis of complex revision nasal concerns unique to each patient.

⚠️ Important Disclaimer Results may vary for each individual, depending on nasal anatomy, skin condition, cartilage quality, and previous surgical history. A thorough medical consultation is strongly recommended prior to making any decision.