Autologous Rib Cartilage Rhinoplasty: Restoring Nasal Structure After Donor Cartilage Absorption

noselab
2024년 12월 8일
2분 분량

최종 수정일: 9월 26일

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

Today, I’m sharing a case involving a patient whose previous surgeries using donor rib cartilage resulted in absorption and deformation of the nasal structure. This case demonstrates how autologous rib cartilage rhinoplasty plays a critical role in achieving both structural stability and aesthetic harmony in revision rhinoplasty.

Design consultation photos before autologous rib cartilage rhinoplasty revision in Korea – frontal, left side, and oblique side views showing nasal deformity. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Surgical History in Autologous Rib Cartilage Rhinoplasty

2005: Silicone implant, Alloderm, septal cartilage
2017: Silicone implant, donor rib cartilage
2017: Alar base reduction
2018 (July): Silicone replacement with additional correction

Key Symptoms and Patient Requests for Autologous Rib Cartilage Rhinoplasty

Functional issues: Severe rhinitis, difficulty breathing
Aesthetic preferences: Glamorous and refined appearance

Preoperative design consultation photos for autologous rib cartilage rhinoplasty revision in Korea – nostril view, right side view, and oblique side view showing nasal asymmetry and deformity. — Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos

Preoperative Analysis in Autologous Rib Cartilage Rhinoplasty

a. Frontal View:

Crooked nose
Pinched nostrils

b. Side View:

Overly elongated nose
Drooping nasal tip
Protruding mouth appearance
High starting point of the nasal bridge

c. Nostril View:

Asymmetric nostrils
Tilted columella
Septal deviation and hypertrophic rhinitis requiring correction

Surgical Approach in Autologous Rib Cartilage Rhinoplasty

a. Replacement of Donor Rib Cartilage:

Removed partially absorbed donor cartilage
Replaced with autologous rib cartilage, ensuring durability and stability

b. Septal Reconstruction:

Corrected deviated septum
Used autologous rib cartilage for reconstruction and extension

c. Nasal Tip Refinement:

Defined and elevated nasal tip
Adjusted columella for natural downward projection
Corrected nasolabial angle for balance

d. Bridge Adjustment:

Lowered the high starting point of the bridge
Improved proportionality and reduced excessive length

Results

Before and immediately after autologous rib cartilage rhinoplasty revision in Korea – front view comparison showing correction of nasal deformity and improved nasal bridge alignment. — Before (Left) / Immediately After (Right)

Frontal View:

Straightened nose with improved symmetry
Restored natural width and corrected pinched nostrils

Side View:

Lowered starting point for a softer profile
Achieved appropriate nasal length and projection
Enhanced nasolabial angle, improving mouth balance

Before and immediately after autologous rib cartilage rhinoplasty revision in Korea – nostril view comparison showing symmetrical nostrils, straightened columella, and correction of pinched appearance — Before (Left) / Immediately After (Right)

Three-Quarter View

Improved natural contour of the bridge
Enhanced tip definition for balanced aesthetics
Reduced prominence of protruding mouth

Nostril View:

Symmetrical nostrils with balanced width
Straightened columella for centered alignment
Corrected pinching for smoother appearance

Specialist Insights

The central focus of this case was replacing the unstable donor rib cartilage with autologous rib cartilage rhinoplasty.

This substitution stabilized the nasal framework while allowing for refined contouring and natural aesthetics.

By addressing both functional problems such as nasal obstruction and aesthetic imbalances, we achieved high patient satisfaction.

Immediately after autologous rib cartilage revision rhinoplasty in Korea – frontal, side, and oblique side views showing straightened nose, lowered bridge starting point, and refined nasal tip projection. — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately after autologous rib cartilage revision rhinoplasty in Korea – nostril view showing improved symmetry, straightened columella, and correction of pinched nostrils. — Immediately After Surgery: Nostril View Photos

Closing Remarks

Revision rhinoplasty cases involving absorbed donor materials highlight the importance of reliable structural support.

Autologous rib cartilage rhinoplasty provides both durability and aesthetic refinement.

At Nose Lab Clinic, we are committed to delivering tailored solutions for complex revision cases.All surgeries at Nose Lab are performed with closed rhinoplasty.