Asymmetrical Nostrils Correction Using Rib Cartilage – Closed Rhinoplasty Case

Overview of This Asymmetrical Nostrils Correction Case

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

This patient presented with asymmetrical nostrils, skin necrosis, tip retraction, and chronic nasal obstruction after more than 20 years of repeated nasal procedures. We performed a closed rhinoplasty for asymmetrical nostrils correction using autologous rib cartilage.

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

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

Surgical History and Preoperative Analysis

History of Multiple Surgeries Before Asymmetrical Nostrils Correction

• 23 years ago: Silicone implant

• 20 years ago: Gore-Tex + ear cartilage + alar base reduction

• 13 years ago: Gore-Tex + ear cartilage

• 10 years ago: Nasal filler

• 7–8 years ago: Silicone + ear cartilage + septal surgery

• 3–4 months later: Revision for nasal redness (unknown details)

Preoperative Findings Related to Asymmetrical Nostrils

• Frontal View: Uneven nostril exposure, deviated nasal bridge, thin dorsum

• Side View: Retracted columella, upper lip protrusion, irregular dorsal line

• Oblique View: Depression on left nasal bridge, suspected necrosis

• Nostril View: Clear asymmetry and rightward deviation

• Functionally: Severe left-sided nasal obstruction

Patient’s Expectations for Asymmetrical Nostrils Correction

The patient hoped to correct the asymmetrical nostrils, achieve a straighter nose, and restore a balanced, natural appearance. Functionally, the goal was to breathe clearly through both nostrils.

Surgical Plan – Closed Rhinoplasty for Asymmetrical Nostrils Correction

Septal Reconstruction and Tip Correction

• Detected complete damage to septal cartilage

• Autologous rib cartilage used to reconstruct and extend the septum

• Upturned tip corrected via septal extension graft

Functional Correction Accompanying Asymmetrical Nostrils Correction

• Septoplasty to straighten deviated septum

• Radiofrequency turbinoplasty to reduce turbinate swelling

• Nasal airflow restored

Aesthetic Refinement for Nostril Symmetry

• Lowered columella for even nasal base

• Filled depression with cartilage and dermal grafts

• Dorsal line straightened

• Asymmetrical nostrils corrected for balance and natural flow

Results After Closed Rhinoplasty for Asymmetrical Nostrils Correction

Frontal View: Significantly reduced nostril exposure and asymmetry

Before (Left) / Immediately After (Right)

Side View: Smooth nasolabial angle and defined columella

Before (Left) / Immediately After (Right)

Oblique View: 3D volume restored to left bridge

Before (Left) / Immediately After (Right)

Function: Improved nasal breathing and septal support

Before (Left) / Immediately After (Right)

Expert Review – A High-Difficulty Asymmetrical Nostrils Correction Case

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

Immediately After Surgery: Nostril View Photos

This patient had undergone 6+ nasal procedures, causing cartilage damage, scarring, and severe nostril asymmetry. Using autologous rib cartilage, we reconstructed the septum and addressed the asymmetrical nostrils and upturned tip.

The nasal base was rebalanced by lowering the columella, restoring the nasolabial angle, and correcting soft tissue loss with dermal grafts.

🦴 At Nose Lab, all procedures are performed using the closed rhinoplasty technique.

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