Contracted and Upturned Nose Correction Using Autologous Rib Cartilage

noselab
2024년 3월 6일
2분 분량

최종 수정일: 10월 15일

Pre-surgery Design and Case Overview of Contracted Nose Correction

This patient visited our clinic to correct excessive nostril exposure from the front view and a short, upturned nasal tip, both typical features of contracted nose deformity. This case represented the patient’s 5th revision rhinoplasty, with a history of multiple reoperations. The third surgery had caused inflammation due to the silicone implant, leading to further complications that required revision.

Surgical Plan for Contracted Nose Correction Using Rib Cartilage

A mild contracture strain was identified during preoperative evaluation. After assessing the degree of nasal cartilage damage, reconstruction was planned using autologous rib cartilage, which provides strong and biocompatible support. The previously inserted Gore-Tex implant on the nasal bridge was removed and replaced with a silicone prosthesis to restore the natural nasal contour and improve long-term stability.

The main surgical goal of this contracted nose correction was to release the tight scar tissue, rebuild the nasal framework, and realign the upturned nasal tip while maintaining a natural facial balance.

Side view before and after Contracted Nose Correction using autologous rib cartilage

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above)

Oblique view before and after Contracted Nose Correction using autologous rib cartilage

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above)

Frontal view before and after Contracted Nose Correction using autologous rib cartilage

Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)

Nostril view before and after Contracted Nose Correction using autologous rib cartilage

Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)

General review

This was the case of a slight contracture deformation that caused the nose tip to shrink and lift, and nostril asymmetry due to side effects of silicone induced inflammation at another hospital. A Gore-Tex prosthesis had been inserted in the nose bridge, and the alar and septal cartilage had been damaged by around 30%, so cartilage reconstruction surgery was performed using the patient’s own rib cartilage.In most cases of deformation by contracture due to inflammation, nasal cartilage damage is very common, and the more sever the contracture deformation, the more sever the cartilage damage. Therefore, the damaged cartilage reconstruction is the most fundamental part of rhinoplasty for nasal contracture. Until after 6 months post operation, there is no significant difference with or without cartilage reconstruction, but after 1 year or more, deformation will occur if the cartilage is not rebuilt.

Director Kang Cha-Young of Nose Lab