Refinement Surgery for a Higher, More Symmetrical Nose with Closed Autologous Rib Cartilage Augmentation | Nose Lab Clinic

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

Today, I would like to share a case of a patient who underwent a secondary surgery at our clinic to achieve additional nasal height and improved symmetry after already being satisfied with the results of their primary procedure.

📍 Surgical History

Design consultation photos: Frontal view, left side view, and oblique side view.

First Surgery

• Performed at Nose Lab Clinic

• Achieved excellent results with structural stability

Current Surgery

• Revision to increase nasal height and correct subtle asymmetry

🔎Initial Evaluation Before Closed Autologous Rib Cartilage Nose Refinement

Design consultation photos: Right oblique side view, right side view, and nostril view.

Patient Profile

• Very satisfied with the first surgical outcome

• Requested additional refinement for further enhancement

Requested Improvements

• Slightly higher nasal bridge

• Perfect left-right symmetry

• Natural yet refined appearance

Current Condition

• Stable, well-formed nose from the first procedure

• Minor asymmetry and slight lack of height remained

✨ Patient Goals

• Increase nasal height

• Perfect left-right symmetry

• Achieve a natural, sophisticated aesthetic

💉 Surgical Details

Autologous Rib Cartilage Augmentation

• Layered structural reinforcement on the existing framework

• Precisely tailored height enhancement

• Maintained structural integrity

Septal Reconstruction

• Corrected minor asymmetries

• Perfectly aligned nasal midline

• Strengthened nasal support

Nasolabial Angle Adjustment

• Refined nasolabial angle to match the enhanced nasal height

• Improved facial balance

Alar Base Correction

• Adjusted nostril exposure to harmonize with the new nasal height

• Improved frontal aesthetic with natural alar positioning

Skin Grafting

• Soft tissue reinforcement for a smooth surface

• Maintained natural skin contours

Stem Cell Therapy

• Accelerated healing and minimized recovery time

• Promoted optimal tissue regeneration

• Enhanced the stability and longevity of results

✅  Surgical Outcomes of Closed Autologous Rib Cartilage Nose Refinement

Frontal View

• Perfect symmetry achieved

• Ideal nasal height enhancement

• Balanced alar base width

• Sophisticated nasal tip

Before (Left) / Immediately After (Right)

Side View

• Elevated, elegant nasal profile

• Naturally curved dorsal line

• Harmonized nasolabial angle

• Balanced facial proportions

Before (Left) / Immediately After (Right)

Symmetry Correction

• Fully aligned nasal midline

• Balanced left-right nasal structure

Before (Left) / Immediately After (Right)

Height Improvement

• Achieved the patient’s desired height

• Noticeable yet natural enhancement

• Seamlessly integrated with facial features

Before (Left) / Immediately After (Right)

Overall Refinement

• Significant upgrade from the first surgery

• Enhanced sophistication and elegance

• Exceptionally high patient satisfaction

👨‍⚕️ Specialist’s Commentary

Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after surgery: Nostril view photo.

This was a case where the patient was already highly satisfied with the primary surgery performed at our clinic but desired additional refinements to achieve their ideal nasal height and symmetry. Because the initial structural foundation was solid, we were able to focus precisely on the patient’s detailed aesthetic goals.

The patient’s request for a slightly higher nose required a balanced, calculated enhancement that aligned perfectly with their facial proportions. By using autologous rib cartilage, we achieved stable, natural height augmentation.

Although the first surgery had already corrected most asymmetries, the patient sought perfect symmetry. Through meticulous septal reconstruction, we were able to achieve flawless midline alignment.

This revision required a focus on ultra-fine adjustments. Unlike initial surgeries, secondary refinement demands highly detailed work, where small changes create significant visual differences. Precision was critical to deliver the right amount of enhancement without overcorrection.

We incorporated stem cell therapy to accelerate healing and improve soft tissue quality—an especially important step in revision cases to ensure safe, stable long-term results.

Additionally, we adjusted the nasolabial angle and alar base positioning to naturally harmonize the increased nasal height with the surrounding facial structures. Simply raising the nose without these considerations could have resulted in nostril overexposure or an unnatural profile.

Ultimately, we delivered exactly what the patient envisioned: a slightly higher, perfectly symmetrical nose that appears refined and natural, with improved facial harmony. The final outcome represents a significant refinement from the initial surgery and fully met the patient’s expectations.

This case demonstrates that even after a successful primary procedure, further enhancement is possible through carefully planned revision surgery that fully respects the patient’s aesthetic vision.

This case is a representative example of closed autologous rib cartilage nose refinement, which can achieve further nasal sophistication and symmetry in revision rhinoplasty.

Thank you.

Dr. Cha-Young Kang

Medical Director, Nose Lab Clinic

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