The body forms a capsule to separate this foreign material\u2026 <\/strong>creating a thin membrane called a capsule <\/p>\n\n\n\n
A normal capsule is very thin and soft, so it does not cause any problems.<\/p>\n\n\n\n <\/p>\n\n\n\n But when inflammation occurs or the foreign-body reaction becomes stronger, the capsule begins to thicken. This thickened capsule creates a pulling force on the nose, and this is the beginning of contracture.<\/p>\n\n\n\n When the capsule thickens, it creates a pulling force similar to a stretched rubber band, lifting the nose upward or pulling the columella inward. This phenomenon is called capsular contracture, commonly known as a contracted nose. In patients with severe contracture, the silicone implant that was originally L\u2011shaped can sometimes appear bent. This is the result of the capsule pulling the implant in an abnormal direction. If the implant bends to that extent, it is natural for the entire shape of the nose to become deformed.<\/p>\n\n\n\n Contracture does not simply cause the nose to lift,<\/p>\n\n\n\n (Case 1 \u2013 actual patient)<\/p>\n\n\n\n In the patient shown above, the capsule pulled the columella strongly upward, causing it to sink inward. From both the front and the underside, the columella appeared similarly rolled inward, which is a typical presentation of a contracted nose. If the capsule remains, it will eventually create a pulling force again over time, causing the nose to lift even more.<\/p>\n\n\n\n After removing the capsule in a contracted nose, it is necessary to reestablish and stabilize the nasal structure. (Case 2 \u2013 actual patient)<\/p>\n\n\n\n Another patient in the photo had not only capsular contracture but also columellar cartilage that had dissolved due to inflammation. In this case, because the nasal tip cartilage had disappeared, reconstructive surgery using ear cartilage was required to rebuild the nasal tip. This is the question that patients with contracted nose ask the most. At first, you may not notice it yourself. Because you see your face every day, the change is hard to feel, but the moment someone you haven\u2019t seen in a while says, \u201cWhy does your nose look lifted?\u201d, the contracture is already progressing.<\/p>\n\n\n\n <\/p>\n\n\n\n \u2714 The longer a contracted nose is left untreated, the more difficult it becomes.<\/p>\n\n\n\n A contracted nose does not occur suddenly; it progresses gradually. Even if it looks fine now, there is a high possibility that it will become more upturned after 3, 4, or 5 years. <\/p>\n\n\n\n![\"\"](\"https:\/\/kdoctorinterview.com\/wp-content\/uploads\/2026\/05\/Copilot_20260520_172930-1-1024x508.png\")
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\u2714 What happens when the capsule becomes thicker?<\/p>\n\n\n\n
<\/p>\n\n\n\n
\u2714 How a contracted nose becomes deformed<\/p>\n\n\n\n\n
it can appear in various forms.
Therefore, the appearance of a contracted nose varies from patient to patient, and the correction method also differs accordingly.<\/li>\n<\/ul>\n\n\n\n![\"\"](\"https:\/\/kdoctorinterview.com\/wp-content\/uploads\/2026\/05\/Copilot_20260520_173417-1024x683.png\")
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\u2714 Case 1 \u2014 a contracted nose with the columella pulled inward<\/p>\n\n\n\n
The most important step in correcting this type of contracted nose is to completely remove the implant and the surrounding capsule.<\/p>\n\n\n\n
\u2714 Structural reconstruction is required after capsule removal<\/p>\n\n\n\n
At Homme & Femme Plastic Surgery, the Diamond Tip Correction technique is used at this stage.
This method<\/p>\n\n\n\n![\"\"](\"https:\/\/kdoctorinterview.com\/wp-content\/uploads\/2026\/05\/2.png\")
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It is especially effective for patients whose nasal tip cartilage is well preserved, and because no implant is used, it also has the advantage of reducing the risk of contracture recurrence.<\/li>\n<\/ul>\n\n\n\n![\"\"](\"https:\/\/kdoctorinterview.com\/wp-content\/uploads\/2026\/05\/Contracted-nose-2-1-1024x364.png\")
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\u2714 Case 2 \u2014 when the cartilage has dissolved<\/p>\n\n\n\n
In other words,<\/p>\n\n\n\n\n
Because the surgical method varies depending on the condition, an accurate diagnosis is extremely important.<\/li>\n<\/ul>\n\n\n\n
\u2714 Contracted nose: \u201cWhen should revision surgery be done?\u201d<\/p>\n\n\n\n
\u201cMy nose looks lifted due to contracture \u2014 do I need revision surgery right away?\u201d
Contracture is progressive. As time passes, the nose becomes more upturned. The earlier it is corrected, the lower the surgical difficulty and the more stable the results.<\/p>\n\n\n\n
Therefore, if contracture is certain, it is best to undergo revision rhinoplasty as soon as possible. Although daily activities may be uncomfortable for at least a week after surgery, it is important to remember that delaying it makes the procedure more difficult and the deformity more severe. I hope what I\u2019ve shared is helpful for those considering revision surgery for a contracted nose. <\/p>\n\n\n\n
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