Contracted Nose and Upturned Tip Revision Rhinoplasty – Case in Korea

noselab
2024년 10월 18일
2분 분량

최종 수정일: 9월 29일

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

Today, I’d like to share a contracted nose revision rhinoplasty case in Korea involving multiple concerns: contracted nose, bulbous tip, upturned nose, short nose, and nostril asymmetry. Given the patient’s history of repeated surgeries, this was a particularly challenging revision.

Pre-Surgery Consultation for Contracted Nose Revision Rhinoplasty

Pre-surgery consultation photos showing frontal, left oblique, and left side views before contracted nose and upturned tip revision rhinoplasty in Korea. — Design consultation photos: Frontal view, left oblique side view, and left side view.

Patient’s surgical history:

2019: Tipplasty with ear cartilage + philtrum reduction
Early 2022: Dorsal/tip surgery with autologous rib cartilage
Mid 2022: Implant removal after inflammation
Late 2022: Tip surgery with rib cartilage + paranasal augmentation
3 sessions of stem cell therapy at Nose Lab Clinic

Pre-surgery consultation photos showing right oblique, right side, and nostril views before contracted nose and upturned tip revision rhinoplasty in Korea. — Design consultation photos: Right side view, right oblique side view, and nostril view.

Main concerns before surgery:

Upturned nasal tip
Excessive nostril show
Bulbous, wide tip
Nostril asymmetry
Large nasolabial angle
Prominent columella

Surgical Procedure in Contracted Nose and Upturned Tip Correction

The surgery was performed using a closed (endonasal) approach without external scarring.

a) Autologous Rib Cartilage Grafting – Rib cartilage harvested for septal extension, providing stability and correcting the upturned tip.

b) Nostril Lowering Surgery – Rib cartilage used to lower the nostrils and improve symmetry.

c) Dorsal Augmentation – Smooth dorsal line achieved with silicone implant shaped to fit the patient’s facial balance.

d) Tip and Columella Correction – Tip lowered, columella adjusted, and nasolabial angle reduced.

e) Refinement of Bulbous Tip – Wide tip reshaped into a more refined contour.

f) Nostril Asymmetry Correction – Achieved through septal extension, cartilage repositioning, and suturing.

Before and After Results of Contracted Nose Revision Surgery

Frontal View:

Upturned tip lowered naturally
Visible nostrils reduced
Bulbous tip refined into a slimmer shape
Nostril asymmetry improved

Oblique View:

Nose lengthened and balanced
Upturned tip corrected
Smoother nasal contour

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

Profile View:

Nasal tip lowered with natural curve
Columella balanced
Nasolabial angle reduced for softer profile

Nostril View:

Asymmetry significantly corrected
Improved balance and proportion

Final Evaluation

Immediate post-surgery photos of contracted nose and upturned tip revision rhinoplasty, showing frontal, oblique, and side views with improved contour and nasal balance. — These are the frontal, side, and oblique side photos taken immediately after surgery.

Immediate post-surgery nostril photos after contracted nose and upturned tip revision rhinoplasty, showing improved nostril symmetry and balanced columella. — These are nostril photos taken immediately after surgery.

This contracted nose revision rhinoplasty demonstrates how even complex cases with inflammation history can be corrected. Removal of contracted tissue and reconstruction with rib cartilage provided long-term stability.

Stem cell therapy before surgery improved skin elasticity, contributing to better surgical outcomes.

At Nose Lab Clinic, we combine ENT expertise with extensive rhinoplasty experience to deliver results that balance both function and aesthetics.

If you are considering revision rhinoplasty in Korea, especially for contracted nose or upturned tip correction, consulting an experienced specialist is essential.

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