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22-Year Contracted Nose Reconstruction and Crooked Nose Correction – A Natural Transformation

  • noselab
  • 4월 25일
  • 2분 분량

최종 수정일: 9월 25일

[Nose Lab Clinic]


👃 Surgical History and Deformity Overview

his patient had undergone multiple rhinoplasty procedures over the past 22 years, resulting in a severely contracted nose with visible deviation and nostril asymmetry. We planned a complete reconstruction using autologous rib cartilage to restore both function and aesthetics.


📍 Patient’s Surgical History

Design consultation images for contracted nose reconstruction: frontal, left profile, and oblique side views showing nasal deviation and structural collapse.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

  • 2 years ago: L-shaped silicone implant

  • 21 years ago: Revision with silicone + ear cartilage

  • 10 years ago: Rib cartilage, silicone, and alar extension graft

Removed silicone implant from a contracted nose reconstruction case, illustrating the cause of internal scarring and nasal collapse.
Removed Silicone Implant

🔎 Preoperative Evaluation

Design consultation photos for contracted nose reconstruction: right side view, oblique side view, and nostril view showing asymmetry and nasal deviation.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Frontal View

  • Deviated nasal axis

  • Pinched alar base

  • Nostril asymmetry


Side View

  • Overly high radix

  • Indented nasal tip

  • Elongated nose

  • Mild upper lip protrusion


Base View

  • Rightward columellar deviation

  • Scarring from prior alar extension

  • Uneven nostril shape


✨ Surgical Goals

The patient desired:

  • Correction of contracted nose

  • Straightened nasal bridge

  • Natural look with soft definition

  • Correction of nostril asymmetry

  • Balanced “Jin Se-Ha” style aesthetic


💉 Contracted Nose Reconstruction Surgical Plan

Structural Restoration

  • Realigned nasal tip using autologous rib cartilage

  • Reused ear cartilage for alar support

  • Reshaped pinched appearance


Volume Augmentation

  • Dermal grafting to fill indentations

  • Smoothed nasal dorsum

  • Improved nasal tip projection


Functional Correction

  • Septoplasty for internal support

  • Turbinate reduction via radiofrequency

  • Improved breathing and reduced dryness


✅ Results After Contracted Nose Reconstruction

Frontal view before and immediately after contracted nose reconstruction surgery, showing correction of nasal deviation and nostril asymmetry.
Before (Left) / Immediately After (Right)

Frontal View

  • Straighter bridge and nasal axis

  • Balanced nostrils

  • Refined nasal width

Left side profile before and immediately after contracted nose reconstruction, highlighting improved nasal tip projection and smoother dorsal contour
Before (Left) / Immediately After (Right)

Side View

  • Soft, natural radix

  • Improved nasolabial angle

  • Smoother dorsal contour

Oblique right side view before and after contracted nose reconstruction using autologous rib cartilage, showing enhanced nasal projection and natural soft contour.
Before (Left) / Immediately After (Right)


Base View

  • Symmetrical nostrils

  • Straighter columella

  • Scar tissue removal successful

Nostril base view before and after contracted nose reconstruction, showing correction of asymmetrical nostrils and improved columella alignment with autologous rib cartilage.
Before (Left) / Immediately After (Right)

👨‍⚕️ Expert Commentary

Immediate postoperative photos after contracted nose reconstruction using autologous rib cartilage: frontal, side, and oblique views showing improved nasal tip definition and dorsal line.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Nostril view immediately after contracted nose reconstruction using autologous rib cartilage, showing improved nostril symmetry and columella alignment.
Immediately After Surgery: Nostril View Photos













This was a highly complex revision rhinoplasty case with over 20 years of accumulated scar tissue, deformity, and structural loss.

Through Contracted Nose Reconstruction using rib cartilage, ear cartilage, and dermal grafts, we achieved a stable, natural, and functional nasal structure.


The patient reported significant improvement in nasal airflow and nighttime breathing.

All surgeries at Nose Lab are performed through the closed (endonasal) technique.

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Noselab Closed Rhinoplasty Clinic

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