Because True Correction Starts Beneath the Surface
Revision rhinoplasty is not about making the nose higher or sharper—it is about correcting the internal structure so the result looks natural, feels stable, and lasts over time. This case demonstrates a structure-first revision rhinoplasty, carefully planned to address underlying problems from a previous surgery performed elsewhere.
For patients with thin skin and a history of silicone augmentation, rebuilding internal support is essential. Without proper structure, even small imperfections can become highly visible and worsen over time.
Pre-Revision Assessment (Previous Surgery Elsewhere)
Before revision, the patient presented with:
- Silicone augmentation lacking adequate internal support
- Thin nasal skin revealing sharp contours and implant edges
- Hanging alar base (nostrils), affecting balance and profile
- Overall disharmony and dissatisfaction with the nasal shape
These issues are common when implants are placed without sufficient structural planning.
Post-Revision Outcome (2 Weeks | Early Healing Phase)
At just two weeks post-operation, early improvements are already evident:
- A softer, smoother nasal tip with improved tissue thickness
- A refined nasal slope and more balanced projection
- Correction of hanging nostrils for improved symmetry
- A calmer, more harmonious profile that fits the face naturally
While swelling is still present at this stage, refinement will continue over the coming months, with final results developing over approximately one year.
Surgical Strategy: Structure Comes First
In this revision, the existing silicone bridge was reinforced using the patient’s own rib cartilage, creating a strong internal framework capable of supporting thin skin safely and naturally.
This approach provides:
- Reliable support beneath thin nasal skin
- Reduced visibility and sharpness of implant edges
- Improved long-term safety and durability
- Natural refinement as healing and tissue settling progress
Rather than masking problems, this technique rebuilds the foundation of the nose.
Expertise in Complex Revision Rhinoplasty
This procedure was performed by Dr. Jaray Krainam, a specialist in complex and revision rhinoplasty. His approach prioritizes:
- Anatomical accuracy
- Facial balance and proportion
- Long-term structural stability
- Natural results over trends or shortcuts
Revision rhinoplasty demands advanced judgment, precision, and experience—especially in cases involving silicone implants and thin skin.
A Long-Term Perspective on Nasal Correction
This case highlights that successful revision rhinoplasty is not about immediate dramatic change, but about creating a stable, harmonious result that improves with time. When structure is restored correctly, the nose can heal, soften, and integrate naturally with the face.
