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Implant-free Rhinoplasty

Implant-free Rhinoplasty

A natural-looking nose without the use of artificial implants

This procedure creates a three-dimensional and natural-looking nasal contour using the patient’s own tissue, without inserting any artificial implants.
t is especially suitable for patients who prefer not to use artificial implants or for those who already have sufficient and high nasal bridge and therefore do not require an implant. In such cases, non-implant rhinoplasty can be an ideal option.
Use of Various Materials

The procedure is customized based on the individual nasal structure and skin characteristics, allowing to avoid potential side effects
associated with artificial implants. As a result, the nose is refined into a natural and aesthetically pleasing shape that closely
resembles the patient’s original anatomy.

Use of Autologous or Donor Dermis and Cartilage

Autologous Dermis

With the use of patient’s own
dermal tissue, this has a low
risk of side effects and
provides a natural feel.

Fascia

Harvested from the deep
temporal area inside the scalp,
fascia is mainly used in revision
surgeries or in patients with thin
scalp.

Costal Cartilage

It has minimal risk of side
effects and provides strong
structural support and
durability.

Ear Cartilage

It has elastic and flexible nature
and is used to reinforce areas
where nasal cartilage is
insufficient.

Septal Cartilage

It is harvested inside the
nose to extend the nose tip
and nasal bridge

Surgical Methods by Type

This procedure enhances the nasal bridge and tip using autologous tissues—such as ear cartilage, septal cartilage, and rib cartilage
without the use of artificial implants.

1. When Using Ear Cartilage

It is a surgical method that improves overall height and tip of the nose by correcting the nasal column, bridge and tip of the nose using
ear cartilage only.

AB 01
Harvesting Ear Cartilage
Harvesting Ear Cartilage
AB 02
Nasal Bridge, Columella and Tip Correction Using Ear Cartilage
Nasal Bridge, Columella and Tip Correction Using Ear Cartilage

2. When Using Ear Cartilage and Septal Cartilage

This is a surgical procedure which takes advantages of both ear and septal cartilage. Ear cartilage is used in areas where
curvature is required while septal cartilage is applied to areas that need stronger structural support and straightness.

AB 01
Harvesting ear and septal cartilages
Harvesting ear and septal cartilages
AB 02
Correction utilizing ear and septal cartilages
Correction utilizing ear and septal cartilages

3. When Using Rib Cartilage

Rib cartilage is an autologous tissue with strong structural support which is suitable for short nose correction, revision cases
for contracted nose and primary rhinoplasty in patients who desire significant changes to nasal bridge.

AB 01
Harvesting Rib Cartilage
Harvesting Rib Cartilage
AB 02
Correction Using Rib Cartilage
Correction Using Rib Cartilage
Characteristics of Autologous Cartilage

1. Septal Cartilage That Does Not Require an Additional Incision

Septal cartilage is located inside the nose, so no additional
external incision is required and can also address rhinitis symptoms.

Septal cartilage
  • Appropriate thickness and strength
  • Allows nasal bridge augmentation or lengthening
  • No additional incision required as it is harvested from inside the nose

2. Ear Cartilage With Excellent Flexibility and Elasticity

Ear cartilage has a rounded shape and flexible, elastic
properties similar to the natural nose and is highly
useful for shaping the nasal tip and compensating for
areas where septal cartilage is insufficient.

Ear cartilage
  • Compensates for areas where septal cartilage is insufficient
  • Accessed from behind the ear, leaving no visible scars
  • Soft texture, suitable for natural nose tip

3. Autologous Rib Cartilage With Strong Durability and Support

Compared to septal or ear cartilage, rib cartilage can be
harvested in larger quantities. Its superior strength and
durability allow it to maintain nose tip over time without
collapse, making it a frequently used autologous material.

Costal cartilage
  • Strong structural support helps prevent nasal tip drooping
  • Cartilage from ribs 6-9 is custom-harvested and designed according to individual needs
  • Largest harvest volume compared to septal or ear cartilage, allowing sufficient nose bridge lengthening
  • Comprehensive scar care system for rib cartilage donor sites

AB's Strong Point

Why Choose AB for Implant-Free Rhinoplasty

1. Fast and Precise Autologous Tissue Harvesting with Minimized Warping

    Minimized pain through careful dissection without cutting muscles

    Safe rib cartilage harvesting with an on-site anaesthesiologist

    One-on-one customized rib cartilage harvesting (from ribs 6, 7, 8, or 9)

    Precise carving and design to minimize warping, supported by extensive experience and advanced techniques

2. Naturally Defined Lines with Long-Lasting Results

CASE 1. Side View

Before surgery
3 months after surgery
Before surgery3 months after surgery

CASE 2. 45° View

Before surgery
3 months after surgery
Before surgery3 months after surgery

3. Advanced 3D-CT Precision Diagnosis

Assessment of Autologous Tissue Condition
Evaluates the size, condition and internal
structure of the nasal septum
+
Functional Assessment
Identifies functional issues and
improves nasal function along with
aesthetic correction
+
Advanced In-House 3D-CT Imaging
Uses state-of-the-art 3D CT equipment to
conduct a systematic examination and establish
a precise surgical plan
3D-CT scanning

4. Columella Shape and Angle That Best Complement the Facial Profile

There is no single fixed angle for the nasolabial area.

By considering overall facial length and proportions, we refine the nasal

angle to create a harmonious and well-balanced facial profile.

Before surgery
After surgery

A recessed philtrum and

a flatter side profile

A balanced and harmonious profile with

improved nasal and philtral angles

#AB’s Personalizedd Diagnosis and Care System

From consultation to full recovery, we promise dedicated one-on-one care, with
the same medical team taking full responsibility throughout the entire process.

Comprehensive 1:1 Responsible Care Throughout the Entire Journey

1: 1 Personalized Consultation
01

1: 1 Personalized Consultation

Surgery Performed Directly by the Consulting Specialist
02

Surgery Performed Directly by the Consulting Specialist

Close Monitoring by a Dedicated Anesthesiologist
03

Close Monitoring by a Dedicated Anesthesiologist

Personalized Management by a Dedicated Consultant
04

Personalized Management by a Dedicated Consultant

Progress Monitoring and 1:1 Postoperative Care
05

Progress Monitoring and 1:1 Postoperative Care


Day 1-2

Disinfection, cotton removal

Week 1

Suture removal, splint removal, and SmartLux

Week 2

Dressing change and removal of internal nasal sutures

Week 4

Skin care treatment at the dermatology clinic
(nasal sebum care)

Implant-free Rhinoplasty Surgical Information

INFORMATION SURGERY

Basic Surgical Information

  • Surgery Duration

    1 hour ~ 1 hour 30 min

  • Anesthesia method

    Sedation

  • In-hospital Treatment

    2~3 times

  • Recovery Period

    After 7 days

RECOMMEND SURGERY

Recommended Target

  • Individuals with thin skin who are concerned about implant visibility

  • Individuals who worry about inflammation or side effects related to artificial implants

  • Individuals seeking a natural-looking nasal line

  • Individuals with concerns such as a flat nose or upturned nose

Preoperative GuidelinesPostoperative Care Instructions

BEFORE & AFTER Implant-free Rhinoplasty

Before Surgery
After 14D
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 2M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 1M
AB Plastic Surgery
Before Surgery
After 2M
AB Plastic Surgery
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Rhinoplasty [Implant-free rhinoplasty, Lateral Osteotomy, Bulbous Nose Correction, Hump Nose Correction, Functional Rhinoplasty]

Postoperative complications such as bleeding, infection, or inflammation may occur, and the severity can vary depending on the individual. Postoperative photographs may differ from actual results due to variations in lighting, photography conditions, or makeup. Surgical outcomes vary from person to person; therefore, a thorough consultation is required to determine the most suitable treatment and expected results for each individual.

Frequently Asked Questions about Rhinoplasty

  • It is generally recommended to start wearing glasses approximately one month after rhinoplasty.
    If you were already wearing glasses before surgery, extra caution is required when wearing them after the procedure.
    First, wearing glasses during the early postoperative period may cause pressure due to their weight, which can potentially shift the implant.
    Second, even after rhinoplasty, the implanted material may not be fully stabilized, and wearing glasses during this stage may increase the risk of implant movement.
    Typically, after about one month, the implant gradually adheres to the surrounding tissues and becomes more stable, significantly reducing the risk of movement.
    Therefore, we advise patients to avoid wearing glasses for at least one month after surgery.

  • Yes. Regardless of the severity, including a crooked nose, nasal correction is possible through rhinoplasty.
    When patients visit for consultation, they often describe a “crooked nose” differently based on their own perspective.
    In most cases, this refers to a nose that does not appear straight from the front where the nose bridge, from the glabella (between the eyebrows) to the nasal tip, deviates to one side around the mid-portion.
    In some cases, patients may refer to a nose that appears uneven or irregular from the side such as a dorsal hump as a “crooked nose.”
    Rhinoplasty can address a wide range of concerns, including crooked noses, hump noses, low bridges, short noses, and bulbous noses. Therefore, there is no need for excessive concern, as these conditions can be effectively corrected through appropriate surgical planning.

  • If the area that was impacted is only mildly red, there is a high possibility that no fracture has occurred.
    However, if you feel that the swelling at the impacted area is relatively severe, further evaluation may be necessary to determine whether a fracture has occurred.
    When swelling is significant, it can be difficult to immediately assess the presence of a fracture. In such cases, we recommend continuing cold compresses on the affected area and visiting the surgical clinic approximately 1–2 weeks later for a CT scan and a thorough evaluation by the attending specialist.
    Even if a fracture is identified, if there is no significant issue with the implant position or the nasal septum, most cases can be managed with observation alone without additional treatment.
    Therefore, there is usually no need for excessive concern.

  • Autologous dermis begins to undergo absorption from the moment it is transplanted. Therefore, unlike implants, it may be more difficult to achieve or maintain a clearly defined and predictable change.
    Due to the inherent characteristics of autologous dermis, there are certain limitations during surgery. The most significant limitation is that postoperative outcomes are more difficult to predict compared to implant-based rhinoplasty.
    In addition, unlike implant rhinoplasty which typically produces a sharp and well-defined nasal bridge where autologous dermis placed on the nasal bridge has a softer tissue quality and may feel similar to natural soft tissue when touched.
    If a patient has a clear preference for a high, prominent, and well-defined nasal bridge and tip, autologous dermis rhinoplasty may not be the most suitable option.
    However, in cases where a patient has undergone multiple revision surgeries resulting in thin nasal skin, or when there is a higher risk of complications, autologous dermis rhinoplasty may be more advantageous than implants.
    Rather than deciding on an implant in advance, it is important to carefully assess the current condition of the nose and determine the most appropriate surgical method through a thorough consultation with a board-certified plastic surgeon.

  • The most common reason for undergoing revision rhinoplasty is a condition known as capsular contracture.
    Capsular contracture is a complication in which inflammation occurs due to issues with the implant placed during the initial rhinoplasty. This can cause the nasal skin to become firm, the nasal tip to retract, and the nose to appear shorter.
    Since these changes are often visible externally, it is important to notify the original surgical clinic as soon as possible and undergo proper evaluation to identify the cause.
    Although capsular contracture can be psychologically stressful, leaving it untreated may result in progressive nasal deformity. Therefore, revision surgery is required to remove the existing implant and replace it with a new one. During the procedure, any adhesions within the nasal tissue must be carefully released, making the surgery technically demanding.
    If the concern is purely aesthetic—such as dissatisfaction with the postoperative shape—and there is no inflammation or functional issue, it is generally recommended to wait at least 6 months to 1 year for the nasal tissues to fully recover before considering revision surgery in order to achieve stable and reliable results.

Safety System

Through various safety management systems, patients can receive surgery with greater peace of mind.

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    On-site board-certified specialist in Anesthesiology and Pain Medicine

    Anesthesiology and pain medicine specialists manage the entire surgical process from pre-operation through post-operation.

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    Real-time monitoring during anesthesia

    Anesthesiologists monitor patients in real time during surgery, with dual and triple verification through central monitoring systems.

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    Pre-surgery safety check

    For safer surgery, we conduct comprehensive pre-operative examinations through our in-house self-inspection system.

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    University hospital–level safety equipment

    Through various safety management systems, patients can receive surgery with greater peace of mind.

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Opening Hours
  • WeekdayAM 10:00 ~ PM 7:00
  • SaturdayAM 10:00 ~ PM 5:00
  • Evening HoursAM 10:00 ~ PM 09:00 (Fri)

*Closed on Sundays and Public Holidays

AB Plastic Surgery Korea

Medical Institution : AB Plastic Surgery 2~4F BLOCK 77 Building, 17, Seocho-daero 77-gil, Seocho-gu, Seoul, Korea (Line No.2, Gangnam Station, Exit No.10)
Business Registration Number : 542-40-00868 TEL : 02-512-1288 FAX : 02-512-1298 E-mail:admin@abplasticsurgerykorea.com