Blunt Nose Correction: Revision Rhinoplasty with Rib Cartilage Reconstruction

noselab
2024년 10월 25일
3분 분량

최종 수정일: 9월 29일

Patient’s Concerns Before Blunt Nose Correction

A female patient visited Nose Lab Clinic suffering from severe discomfort caused by a 20-year-old L-shaped silicone implant. Her symptoms included:

Pain around the nasal bridge, especially when wearing glasses
Noticeable movement of the implant
Occasional headaches and nasal dorsum pain
Severe chronic rhinitis requiring long-term medication

Pre-Surgery Assessment

Before Surgery – Frontal View: The patient shows a wide nasal bridge, blunt tip, and droopy alar base. — Frontal view before blunt nose correction surgery – wide nasal bridge and droopy nasal tip

Frontal View Analysis:

Wide, swollen nasal bridge
Blunt and droopy nasal tip
Flared and droopy alar base
Elongated philtrum

Before Surgery – Oblique View: The patient’s nasal bridge appears wide, the nasal tip is blunt and droopy, and overall facial harmony is reduced. — Oblique side view before blunt nose correction surgery – wide nasal bridge and droopy nasal tip

Oblique View Analysis :

Blunt nasal tip with drooping shape
Upper lip protrusion

Side view before blunt nose correction surgery – droopy nasal tip and elongated philtrum

Side View Analysis :

Compressed, blunt nasal tip
Columellar retraction with protruding upper lip
Weak chin (microgenia)

Before Surgery – Nostril View: The nostrils appear wide and slightly asymmetric, with a drooping nasal tip contributing to imbalance. — Nostril view before blunt nose correction surgery – wide nostrils with slight asymmetry and drooping tip

Nostril View Analysis :

Flattened, wide nostrils
Slight nostril asymmetry

Surgical Plan for Blunt Nose Correction

To address both functional and aesthetic concerns, we designed a plan that included:

Removal of the old silicone implant
Excision of excess tissue surrounding the implant
Placement of a thinner, broader implant
Rib cartilage graft for septal extension and tip refinement
Adjustment of the nasolabial angle
Limited septal correction for stability

Surgical Procedures

1. Removal of Existing Implant:

The existing 8mm silicone implant was removed, along with surrounding granulation tissue, followed by saline irrigation.

2. Nasal Tip Reconstruction with Rib Cartilage:

Scar tissue was removed, and rib cartilage was used for septal extension and nasal tip definition.

3. Nasolabial Angle Refinement:

The columella was repositioned, improving the nasolabial angle and reducing the prominence of the upper lip.

4. Placement of New Implant:

minimally elevated, broader silicone implant was inserted under the periosteum for better stability.

Results of Blunt Nose Correction

Frontal before-and-after photos of blunt nose correction – wide nasal bridge and drooping tip improved to refined and balanced nose — Before (Left) / After (Right)

Frontal View:

The previously wide and swollen nasal bridge has slimmed down, and the swelling has reduced.
The blunt nasal tip has been elevated for a more refined appearance.
The flared alar base has been improved.

Oblique before-and-after photos of blunt nose correction – improved nasal tip projection and balanced nasal bridge — Before (Left) / After (Right)

Oblique View:

The droopy nasal tip has been corrected, achieving a more balanced height.
The protruding appearance of the upper lip has been reduced.

Side View:

The nasal tip has been naturally elevated, eliminating the blunt appearance.
The columellar retraction has been corrected, and the nasolabial angle has been adjusted to a more natural position.
The overall balance of the nose and face has improved, reducing the prominence of the upper lip.

Nostril View:

Nostril asymmetry has been corrected.
The previously flattened nostrils now have a more rounded, natural shape.

Key Takeaways

This case demonstrates how Blunt Nose Correction can relieve chronic pain from outdated implants while achieving a more refined, natural nose. Implant replacement combined with rib cartilage reconstruction provides both stability and aesthetics.

"Immediate post-surgery photos: frontal, side, and oblique side views after blunt and wide nose correction with rib cartilage reconstruction — Photos Immediately After Surgery: Frontal, Side, and Oblique Side Views

Immediate post-surgery nostril view showing correction of asymmetry and improved nasal tip support after rib cartilage reconstruction — Photos Immediately After Surgery: Nostril View

Conclusion

For patients experiencing discomfort or cosmetic concerns from old implants, Blunt Nose Correction with rib cartilage reconstruction is a safe and effective solution. At Nose Lab Clinic, we prioritize both health and beauty for long-term satisfaction.

👉 Nose Lab Clinic performs all surgeries using a closed rhinoplasty approach.