Dike Reconstruction (Postoperative 1 Week, Immediate Post-Suture Removal Progress)
This revision surgery corrects a case where excessive tissue was removed due to an incorrect design during a previous alar base reduction at another facility, resulting in the loss of the nasal floor ridge, commonly known as the “ridge.”
When the nasal septum—the cartilage that divides the nasal passages—flattens, the nostrils become more noticeable or appear unnatural in shape.
When performing alar base reduction surgery, it is essential to design the procedure to preserve the alar base.
The excised embankment is reconstructed using methods such as local flaps or skin-cartilage grafts.
This time, reconstruction was performed using a local flap from the lateral aspect of the nasal ala.
Immediately after suture removal, the scar and any unnatural appearance will still be visible, but they will gradually blend in with the surrounding tissue.
I’ll post updates as appropriate.
| Embankment Reconstruction | ¥550,000 |
|---|---|
| Risks and Side Effects | Swelling, bruising, tightness in the nostrils, infection, hematoma, wound separation, raised or depressed scars, hyperpigmentation, etc. |
▷Detailed explanations about the embankment reconstruction can be found here.
Supervisor of this article
Director Yoshiaki Shingyochi
SHINGYOCHI Yoshiaki
Director of LIVIN CLINIC and a specialist in plastic and cosmetic surgery. After graduating from Juntendo University School of Medicine, he gained extensive experience as a department head and vice director before assuming his current position in 2025. He specializes in nose and eye area procedures, breast augmentation, and other surgeries, earning the trust of patients both domestically and internationally. Guided by the belief of “maximizing each patient's unique beauty,” he provides high-quality treatment through advanced techniques and meticulous procedures. Director of LIVIN CLINIC, Board-Certified Plastic Surgeon, Board-Certified Aesthetic Surgeon (JSAPS), Doctor of Medical Science, Adjunct Assistant Professor, Department of Plastic Surgery, Juntendo University.
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