목적: To investigate the feasibility of single stage rhinoplasty with autologous costal cartilage after alloplastic implant infection 방법:The retrospective study included 19 patients who underwent immediate rhinoplasty with autologous costal cartilage after removal of infected alloplastic implant from January 1, 2012, through June 31, 2014, with a minimum follow-up of 8 months. Data analysis included type of alloplastic implant used culture results complications, including reinfection and graft resorption and patients satisfactions. 결과:Associated alloplast included silicone (16 cases), expanded polytetrafluoroethylene (5 cases), irradiated costal cartilage (2 cases) and Medpor (2 cases). With a mean follow-up of 24 months, reinfection occurred in 5 patients that 4 patients subsided with antibiotics but 1 patient removed grafts. Two patients encountered major clinical absorption who suffered reinfection. 결론:Although relatively high complications rate, immediate reconstruction using costal cartilage would prevent waiting with disfigured nose and further destruction skin contracture, cartilage deformity, after removal of infected alloplast implant. Therefore the use of autologous costal cartilage is a viable option for rhinoplasty immediately after removal of infected alloplastic implant.