Contracted Nose and Mesh Removal Revision Rhinoplasty in Korea

noselab
2024년 10월 19일
2분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.

Today, I would like to present a complex contracted nose revision rhinoplasty case in Korea. The patient suffered from a contracted and upturned nose, short nasal length, and nostril asymmetry after multiple surgeries and inflammation.

Pre-Surgery Consultation for Contracted Nose Revision Rhinoplasty

Pre-Surgery Design Consultation: Frontal, Left Oblique, and Left Profile Views

During the consultation, we identified:

Short, upturned nose with excessive nostril exposure
Nostril asymmetry and tilted columella
Flat nasal bridge with a high starting point
Large nasolabial angle with a droopy yet upturned tip

Patient’s requests included: correction of the upturned tip, lowering the bridge starting point, improving nostril asymmetry, and lengthening the nose.

Past surgical history included silicone insertion/removal, PRP injections, ear cartilage graft, Alloderm, donor rib cartilage grafting, philtrum and alar base reduction, and stem cell treatments.

Pre-Surgery Design Consultation: Right Oblique, Right Profile, and Nostril Views

Surgical Procedure in Contracted Nose Revision Rhinoplasty

a) Mesh Removal – Unexpected mesh fragments were found in the nasal tip and removed, along with absorbed donor rib cartilage.

Intraoperative photo of mesh removal and extracted materials including artificial dermis, removed mesh fragments, and donated rib cartilage fragments during contracted nose revision rhinoplasty. — Photos of Mesh Removal , 1. Artificial Dermis 2. Removed Mesh Fragments 3.Removed Donated Rib Cartilage Fragments

b) Total Septal Reconstruction – Using autologous rib cartilage, we reconstructed the septum to restore stability and correct the upturned tip.

c) Septal Extension – Rib cartilage grafts were used to lengthen the nose and naturally lower the tip.

d) Alar Cartilage Reconstruction – Both sides of the collapsed alar cartilage were rebuilt with rib cartilage to restore nostril symmetry.

Intraoperative photo showing the insertion of autologous rib cartilage into the nasal bridge during contracted nose revision rhinoplasty, before suturing and confirming the dorsal line. — "This shows the insertion of autologous rib cartilage into the nasal bridge before suturing and confirming the line.

e) Correction of Septal Deviation – Internal narrowing due to mesh and deformed cartilage was corrected, improving nasal breathing.

f) Paranasal Augmentation – Rib cartilage grafts enhanced the nasolabial fold.

g) Nasal Bridge Line Formation – A natural dorsal line was shaped using rib cartilage.

All procedures were performed via a closed rhinoplasty approach, leaving no external scars.

Before and After Results of Contracted Nose Revision Rhinoplasty

Frontal View:

Nose lengthened to natural proportion
Upturned tip lowered
Nostril asymmetry improved

Oblique View:

Bridge starting point lowered
Nasolabial angle corrected to ~95°
Short and droopy tip balanced

Side profile view before surgery (left) after surgery (right)

Profile View:

High bridge starting point corrected
Nasal line smooth and natural

Nostril View:

Nostril asymmetry significantly improved
Columella realigned and refined

Final Evaluation

This case demonstrates the successful correction of a complex contracted nose through revision rhinoplasty. Autologous rib cartilage played a central role in total septal reconstruction, nasal tip extension, and nostril symmetry restoration.

The unexpected discovery and removal of mesh material not only improved cosmetic outcomes but also relieved nasal congestion, resulting in both aesthetic and functional success.

At Nose Lab Clinic, we prioritize both aesthetics and breathing function. With personalized surgical plans and extensive experience, we aim to achieve natural, safe, and healthy results.

This has been Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic. Thank you.