[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

surgeries, who came to us with concerns about a contracted nose (구축코), nasal deviation, and asymmetrical nostrils. With careful reconstruction and refinement using autologous rib cartilage, we were able to achieve a balanced, natural result—both functionally and aesthetically.

📍 Surgical History

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

• 22 years ago: L-shaped silicone rhinoplasty

• 21 years ago: Revision with L-shaped silicone + ear cartilage

• 10 years ago: Ear cartilage + rib cartilage + silicone + alar extension graft

Removed Silicone Implant

🔎 Initial Evaluation

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Frontal View

• Deviated nasal axis

• Nostril asymmetry

• Pinched alar appearance

2. Side Profile

• Overly high radix (starting point)

• Elongated nose

• Irregular nasal dorsum

• Indented nasal tip

• Mild upper lip protrusion

3. Nasal Base

• Rightward columellar deviation

• Asymmetrical nostrils

• Scar tissue inside the nostrils from previous alar extension grafts

4. Functional Concerns

• Greater nasal obstruction on the right side, worsened while lying down

• Crusting and dryness during winter

✨ Patient’s Goals

• Improve deviated and contracted nose

• Achieve a natural look with a soft, elegant contour

• Desired aesthetic: “Jin Se-Ha style” nose

• Correct nostril asymmetry and previous surgical distortions

💉 Surgical Plan

1. Structural Reconstruction

• Corrected the deviated nasal tip using autologous rib cartilage

• Rebuilt the alar structure using previously harvested ear cartilage

• Corrected the pinched nose appearance

2. Tissue Augmentation

• Dermal grafts used to reinforce thin, weakened areas

• Smoothed dorsal irregularities

• Improved nasal tip indentation

3. Functional Restoration

• Septoplasty to realign and stabilize the septum

• Submucosal radiofrequency turbinate reduction

• Improved airflow and reduced nasal dryness

✅ Surgical Outcomes

Before (Left) / Immediately After (Right)

1. Frontal View

• Straightened nasal bridge

• Balanced, symmetrical nostrils

• Naturally refined nasal width

• Harmonized nasal tip and dorsum

Before (Left) / Immediately After (Right)

2. Side Profile

• Smoother dorsal line

• Corrected tip indentation

• Softened radix for a more natural starting point

• Improved nasolabial angle, reducing the appearance of lip protrusion

Before (Left) / Immediately After (Right)

3. Nasal Base

• Improved symmetry in nostrils

• Straighter columella

• Scar tissue from previous alar extension was safely removed

Before (Left) / Immediately After (Right)

👨‍⚕️ Expert Commentary

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This was a challenging case of revision rhinoplasty in a severely contracted nose with over two decades of surgical history. Multiple prior procedures had left behind extensive internal scarring, structural collapse, and functional impairments.

By carefully utilizing autologous rib cartilage, we rebuilt a stable nasal framework, reused ear cartilage to support the alar region, and applied dermal grafts to smooth irregularities and soften contours. The end result was a naturally elegant nasal line that matched the patient’s desired style.

Functionally, the nasal obstruction was significantly improved, particularly on the right side, with better airflow and reduced discomfort during sleep.

This has been Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Thank you.

https://blog.naver.com/cykang/223823705915