Kim H, Kim JH, Koh IC, Lim SY. Immediate secondary rhinoplasty using a folded dermofat graft for resolving complications related to silicone implants: A case report. World J Clin Cases 2024; 12(14): 2426-2430 [PMID: 38765742 DOI: 10.12998/wjcc.v12.i14.2426]
Corresponding Author of This Article
Soo Yeon Lim, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Institute, 158 Gwanjeodong-ro, Daejeon 35365, South Korea. lsean84@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2024; 12(14): 2426-2430 Published online May 16, 2024. doi: 10.12998/wjcc.v12.i14.2426
Immediate secondary rhinoplasty using a folded dermofat graft for resolving complications related to silicone implants: A case report
Hoon Kim, Jong Hyup Kim, In Chang Koh, Soo Yeon Lim
Hoon Kim, Jong Hyup Kim, In Chang Koh, Soo Yeon Lim, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Institute, Daejeon 35365, South Korea
Author contributions: Koh IC contributed to conceptualization, methodology, software, and validation; Lim SY contributed to conceptualization, validation, manuscript writing and editing, and supervised the study; Kim JH contributed to validation, formal analysis, investigation, resources, data curation, manuscript writing and editing, project administration, and funding acquisition; Kim H contributed to visualization, manuscript writing and editing, and supervised the study; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Soo Yeon Lim, MD, Assistant Professor, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Institute, 158 Gwanjeodong-ro, Daejeon 35365, South Korea. lsean84@gmail.com
Received: January 24, 2024 Revised: February 22, 2024 Accepted: April 1, 2024 Published online: May 16, 2024 Processing time: 102 Days and 4.4 Hours
Abstract
BACKGROUND
Various surgical techniques have been developed to enhance the nose shapes of Asian patients. Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes. However, this technique may lead to complications, including ischemia, necrosis, and over-augmentation. The most appropriate management of these complications, including infection, is immediate implant removal and revision surgery once the accompanying inflammation has healed. Occasionally, the patient may experience distress from nasal deformities during the intervention period.
CASE SUMMARY
Herein, we describe the case of a patient who underwent a secondary dorsal augmentation, with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal, successfully preventing dimpling of the nasal deformity.
CONCLUSION
This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satisfactory patient outcomes.
Core Tip: This case report presents noteworthy findings, as we introduce an innovative secondary rhinoplasty technique using a folded dermofat graft to address complications arising from silicone implant augmentation rhinoplasty. This procedure successfully maintained the nasal contour without complications after silicone implant augmentation rhinoplasty. This approach enhances patient satisfaction and provides a valuable solution to challenges associated with traditional methods, making it a promising option in managing complications following augmentation rhinoplasty.
