Augmentation rhinoplasty is one of the most common aesthetic procedures in Asian countries. For
this procedure, a variety of implants are used. Nasal bone fracture is one of the common facial bone
fracture, and patients who have nasal bone fracture often need secondary rhinoplasty because of
certain complications such as nasal deviation and depression. Unfortunately, the management
protocol has not yet been established. Depending on whether the previous implant is removed or not,
therefore, this may lead to partial decompression of the nasal bone, mobility of the implant, or
reposition of the implant. For these reasons, we corrected fractured nasal bone, removed silicon
implants and capsules, and employed immediate secondary rhinoplasty with dermofat graft for the
patient who had had rhinoplasty. The height and appearance of the patient\'s nose were maintained
as before surgery. The patient appealed a little depression of the nasal dorsum, but was very satisfied
with its natural appearance. There were no complications such as nasal tip deformity, chronic
inflammation, or partial depression deformity. We report herein the usefulness of this procedure;
doing non-invasive closed reduction, removing silicon implants, and employing immediate
secondary rhinoplasty with dermofat graft of the patients who had rhinoplasty previously.