5th Revision Rhinoplasty with Autologous Rib Cartilage – Complex Nasal Reconstruction Case

noselab
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최종 수정일: 9월 26일

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

Today, I’m sharing a challenging case involving a 5th revision rhinoplasty with autologous rib cartilage to restore nasal function and improve columella aesthetics.

Design consultation image showing the patient’s frontal, left side, and oblique side views before rhinoplasty surgery. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design consultation image showing the patient’s right side, oblique side, and nostril view before rhinoplasty surgery. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Surgical History of 5th Revision Rhinoplasty with Autologous Rib Cartilage

Past Procedures Before 5th Revision Rhinoplasty

10 years ago: Septoplasty + silicone implant + ear cartilage
8 years ago: Medpor removal + revision rhinoplasty
8 years ago: Skin graft (postauricular area) + Alloderm + ear/rib cartilage
5 years ago: Silicone + fat graft + autologous dermis + rib cartilage

Patient’s Concerns Before 5th Revision Rhinoplasty with Autologous Rib Cartilage

Functional and Aesthetic Issues

Severe nasal obstruction (mouth-breathing)
Columella deformity (thickness and prominence)
Nasal asymmetry and deviation
Nasal Endoscopy Photos

Patient’s Surgical Goals

Improve columella thickness and visibility
Create straight nasal bridge (I-line)
Adjust radix (starting point) height
Correct asymmetry

Surgical Plan for 5th Revision Rhinoplasty Using Autologous Rib Cartilage

Functional Reconstruction

Septoplasty for deviated septum
Radiofrequency turbinoplasty (inferior turbinates)
Septal reconstruction using autologous rib cartilage

Columella Enhancement Technique

Bilateral postauricular skin-dermis composite graft
Natural thickness and reduced columella visibility

Aesthetic Corrections with Rib Cartilage

Straight I-line nasal bridge formation
Radix adjustment
Nasal asymmetry correction

Surgical Results After 5th Revision Rhinoplasty with Autologous Rib Cartilage

Before and immediately after photos of a patient who underwent revision rhinoplasty using autologous rib cartilage — Before (Left) / Immediately After (Right)

Functional Outcomes

Improved nasal breathing
Stabilized nasal septum
Overall structure restored

Close-up comparison of nostril view before (left) and immediately after (right) revision rhinoplasty using rib cartilage — Before (Left) / Immediately After (Right)

Columella Improvements

Balanced thickness
Better columella exposure
Harmonized frontal appearance

Before (Left) / Immediately After (Right)

Aesthetic Enhancements

Defined nasal bridge (I-line)
Lowered radix for harmony
Improved facial symmetry

Oblique view comparison before (left) and immediately after (right) revision rhinoplasty using autologous rib cartilage — Before (Left) / Immediately After (Right)

Expert Insights on 5th Revision Rhinoplasty with Autologous Rib Cartilage

This case shows how 5th revision rhinoplasty using autologous rib cartilage can effectively restore function and aesthetics in severely compromised noses. By rebuilding the septum and improving columellar structure, we achieved both relief and balance. Composite dermal grafts were key to natural refinement.