Alar Cartilage Reconstruction Korea for Restoring Nasal Stability and Mucosal Integrity

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52분 전
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Clinical Background of Alar Cartilage Reconstruction Korea

Preoperative views before Alar Cartilage Reconstruction Korea showing frontal and side angles. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Presentation and Structural Deficiencies

The patient presented with right-sided cartilage exposure through the nasal mucosa due to multiple previous rhinoplasties performed over several years. She exhibited severe alar cartilage deformity, a collapsed columella, a drooping nasal tip, and asymmetrical nostrils. This constellation of findings indicated advanced structural compromise, necessitating immediate intervention with Alar Cartilage Reconstruction Korea to prevent infection and further tissue deterioration.

Right side, oblique, and nostril views before Alar Cartilage Reconstruction Korea. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan for Alar Cartilage Reconstruction Korea

Removal of Exposed Cartilage and Mucosal Grafting

Exposed cartilage represents a high-risk condition associated with mucosal breakdown, bacterial contamination, and cartilage necrosis. The compromised graft was carefully removed, and a mucosal reconstruction was performed using a cartilage membrane graft to restore epithelial continuity and eliminate infection risk.

Alar Cartilage Reconstruction

Prior surgeries had caused severe deformation and attenuation of the alar cartilage. Precise reshaping and reinforcement of the alar rim were performed to reestablish structural integrity, prevent future collapse, and restore long-term nasal valve stability.

Correction of Drooping Nasal Tip Using Autologous Rib Cartilage

Autologous rib cartilage was selected due to its superior strength, predictability, and resistance to warping. A new tip framework was constructed to correct the drooping nasal tip and reestablish an aesthetically youthful nasal projection.

Columella Extension and Nasolabial Angle Optimization

The patient’s recessed columella and acute nasolabial angle contributed to an aged and flattened profile. Rib cartilage grafts were used to extend the columella, refine the nasolabial angle, and achieve improved facial balance.

Custom Silicone Implant for Dorsal Augmentation

A new silicone implant was custom-shaped to fit the patient’s nasal bone architecture. This allowed restoration of dorsal contour, correction of prior implant irregularities, and creation of a natural, continuous dorsum.

Clinical Outcomes After Alar Cartilage Reconstruction Korea

Before and after frontal views showing results of Alar Cartilage Reconstruction Korea. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril view before and after Alar Cartilage Reconstruction Korea showing symmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Structural and Soft Tissue Restoration

Complete removal of exposed cartilage
Successful mucosal regeneration using membrane graft
Stable reconstruction of the alar cartilage complex
Correction of columellar collapse
Restoration of a balanced alar–columella relationship

Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Improvements

Nasal tip projection restored with rib cartilage
Nasolabial angle improved for a refined side profile
Dorsal contour harmonized through custom implant design
Nostril asymmetry significantly reduced

Oblique side views before and after Alar Cartilage Reconstruction Korea showing refinement. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary on Alar Cartilage Reconstruction Korea

Clinical Significance of Cartilage Exposure

Cartilage exposure through the nasal mucosa constitutes a surgical emergency due to high infection risk and potential graft necrosis. Immediate removal and mucosal repair are essential to preserving long-term nasal function.

Importance of Alar Cartilage Reconstruction

The alar cartilage plays a critical role in maintaining nasal valve function and external nasal shape. Reconstruction is vital not only for symmetry but also for preventing dynamic airway collapse.

Functional and Aesthetic Integration

Reconstruction of the columella and nasolabial angle enhances nasal–facial proportion, while a custom implant provides superior dorsal definition. These interventions collectively ensure both functional recovery and natural, stable aesthetics.

“NoseLab Plastic Surgery is a rhinoplasty-focused clinic in Gangnam, specializing in closed rhinoplasty and autologous rib cartilage revision.”