Closed Rhinoplasty Korea for Safe Reconstruction of a Contracted Nose Using Rib Cartilage

noselab
17분 전
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Contracted nose reconstruction is a revision rhinoplasty procedure that restores nasal structure and function after scar tissue formation, implant-related complications, and soft tissue contracture.

In this case, a severely contracted nose that developed years after silicone implant rhinoplasty was safely reconstructed by completely removing fibrotic tissue and rebuilding stable support with autologous rib cartilage through a closed surgical approach.

Author: Dr. Cha-Young Kang, Director, NoseLab Clinic

Published: 2026-01-19

Hello, this is Dr. Cha-Young Kang from NoseLab Clinic.

This case study presents a patient who developed progressive nasal deformity and breathing difficulty due to long-term contracture following a previous rhinoplasty, requiring structural reconstruction rather than cosmetic revision.

Patient Condition and Problem Definition

The patient presented with a severely contracted nose characterized by structural distortion and functional compromise.

Several years after primary rhinoplasty using a silicone implant and septal cartilage graft, progressive scar formation caused soft tissue contracture, resulting in an upturned nasal tip, columella retraction, excessive nostril show, nasal deviation, and impaired airflow.

Preoperative frontal, left oblique, and left side view of a contracted and deviated nose before closed rhinoplasty Korea revision surgery using structural reconstruction. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Plan – Closed Rhinoplasty Korea for Contracted Nose Reconstruction

The surgical strategy focused on eliminating the root cause of deformity and rebuilding a stable nasal framework.

Using closed rhinoplasty korea, the plan prioritized complete removal of contracted tissue and long-term structural reconstruction rather than superficial correction.

Key surgical steps included:

Complete excision of fibrotic and contracted tissue
Reconstruction of nasal tip support using autologous rib cartilage
Correction of the upturned nasal tip and columella position
Replacement of the previous dorsal implant with a custom-carved silicone implant
Refinement of nasolabial angle and overall nasal alignment

Because incomplete removal of contracted tissue increases recurrence risk, this stage was performed meticulously despite the expectation of temporary postoperative swelling.

Right side, right oblique, and nostril view of a contracted and deviated nose prior to closed rhinoplasty Korea for secondary rhinoplasty and structural correction. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Results – Structural Stability and Functional Recovery

Postoperative assessment demonstrated stable correction without signs of recurrent contracture.

Frontal before-and-after comparison of a contracted nose after closed rhinoplasty Korea, demonstrating stable secondary rhinoplasty results without recurrent contracture. — Before Surgery (Left) / Immediately After Surgery (Right)

From the frontal view, nasal deviation was corrected and alignment restored.

Before and immediately after side view of a contracted nose corrected through closed rhinoplasty Korea, demonstrating improved nasal projection and structural stability. — Before Surgery (Left) / Immediately After Surgery (Right)

From the side profile, the nasal tip was lowered to a natural position, improving facial balance.

Before and immediately after oblique view of a contracted nose corrected through closed rhinoplasty Korea, demonstrating smoother nasal contour and structural stabilization. — Before Surgery (Left) / Immediately After Surgery (Right)

From the nostril view, nostril show was reduced and the columella stabilized, contributing to improved airway function.

Before and immediately after basal view of a contracted nose corrected with closed rhinoplasty Korea, demonstrating stabilized nasal base and balanced nostril shape. — Before Surgery (Left) / Immediately After Surgery (Right)

These results confirmed both aesthetic restoration and functional recovery.

Educational Perspective – Why Rib Cartilage Is Essential in Contracted Nose Revision

Contracted nose revision differs fundamentally from standard secondary rhinoplasty because implant replacement alone cannot resolve fibrotic deformation.

In this case, the contracted capsule and scar tissue had to be fully removed before reconstruction. Autologous rib cartilage was essential to rebuild the nasal framework, as it provides strong, durable support and significantly reduces the risk of recurrent contracture compared to softer graft materials.

The closed rhinoplasty korea approach allowed precise internal correction while preserving soft tissue viability and avoiding external scars.

Final Thoughts

This case demonstrates that successful contracted nose reconstruction requires complete removal of fibrotic tissue and structural rebuilding rather than cosmetic camouflage.

By combining meticulous contracture release with rib cartilage reconstruction through a closed approach, long-term stability, functional recovery, and natural balance were achieved.

FAQ

Q1. Why does nasal contracture occur after rhinoplasty?

Nasal contracture develops when chronic inflammation and scar tissue formation cause soft tissues to shrink and distort the nasal structure over time.

Q2. Can a contracted nose be corrected without open surgery?

Yes. When fibrotic tissue is thoroughly removed and internal support is reconstructed, a closed approach can safely achieve stable correction.

Q3. Why is rib cartilage preferred for contracted nose reconstruction?

Rib cartilage provides strong, long-lasting support and minimizes the risk of recurrent collapse or contracture compared to weaker graft materials.