A Dramatic Transformation for Contracted Nose and Upturned Nose – Revision Rhinoplasty with Autologous Rib Cartilage in Korea

noselab
2024년 10월 17일
3분 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 challenging revision rhinoplasty case for a patient who suffered from a contracted nose and upturned nasal tip after multiple previous surgeries. Using autologous rib cartilage, we achieved a stable and natural result that addressed both function and aesthetics.

Patient History – Contracted Nose and Upturned Nose

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

Surgical History:

2012: L-shaped silicone implant
2019: Silicone + autologous rib cartilage + alar base reduction + philtrum reduction
2023: Silicone + ear cartilage + alar lowering (inflammation occurred after splint removal, treated with antibiotics)
2023 (5 months later): Silicone removal
At Nose Lab Clinic: Six sessions of stem cell therapy before revision

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

Patient’s Concerns:

Correct the upturned nose
Improve nostril asymmetry
Correct the depressed nasal tip
Create a subtle dorsal hump
Adjust the nasolabial angle

Pre-Surgery Design Consultation – Revision Rhinoplasty Korea

Frontal View:

Visible nostrils and asymmetry
Wide, flat nasal bridge
Depressed scar on the nasal tip

Oblique and Profile Views:

Blunt, upturned tip
Flat nasal bridge without definition
Depressed nasal tip with excessive nostril show
Inappropriate nasolabial angle

Nostrils:

Narrow nostrils
Wide columella
Pronounced asymmetry

Surgical Plan – Revision Rhinoplasty with Autologous Rib Cartilage

Septal Extension with Autologous Rib Cartilage
Septal Reconstruction for Structural Stability
Correction of Nostril Asymmetry by Septal Shift
Creation of a Dorsal Hump Using Rib Cartilage
Reconstruction of Alar Cartilage
Adjustment of Nasolabial Angle

Surgical Procedure – Closed Rhinoplasty Approach

Rib Cartilage Harvesting:

Sufficient rib cartilage was harvested to provide a strong foundation for reconstruction.

Septal Extension & Reconstruction:

The septum was extended and rebuilt with rib cartilage to correct the contracted and upturned tip.

Correction of Nostril Asymmetry:

Septal shift corrected the imbalance, creating symmetry between nostrils.

Creation of Dorsal Hump:

Rib cartilage was sculpted to form a natural dorsal hump, fulfilling the patient’s request.

Alar Cartilage Reconstruction:

Rebuilt the alar cartilage for better tip support and refined definition.

Nasolabial Angle Adjustment:

Tip and septum repositioning improved the nasolabial angle, softening the upper lip projection.

Before and After Results – Contracted Nose and Upturned Nose Correction

Frontal before and after comparison of rhinoplasty. Pre-surgery view on the left, post-surgery view on the right, showing correction of nasal tip and nostril asymmetry. — Frontal view before surgery (left) after surgery (right)

Frontal View:

Reduced nostril show, balanced appearance
More refined nasal bridge
Improved nostril symmetry

Oblique 45-degree before and after comparison of rhinoplasty. Pre-surgery view on the left, post-surgery view on the right, showing improved nasal bridge contour and refined nasal tip — 45-degree angle view before surgery (left) after surgery (right)

Oblique View:

Natural dorsal hump created
Upturned tip corrected into a refined contour
Reduced nostril exposure

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

Profile View:

Depressed nasal tip improved with projection
Smooth dorsal hump visible
Corrected nasolabial angle

ostril view before and after comparison of rhinoplasty. Pre-surgery view on the left, post-surgery view on the right, showing corrected nostril asymmetry and refined columella — Nostrils before surgery (left) after surgery (right)

Nostril View:

Narrow nostrils widened to functional proportions
Columella refined
Symmetry restored

Final Evaluation – Revision Rhinoplasty Success

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Immediate post-surgery nostril view after rhinoplasty, showing improved nostril symmetry and columella alignment with reduced exposure." — Photo of the nostrils

This case highlights the effectiveness of revision rhinoplasty with autologous rib cartilage for contracted and upturned noses. By performing septal reconstruction, dorsal hump creation, and nostril asymmetry correction, we achieved both functional and cosmetic improvements.

Key outcomes:

Stable structure with rib cartilage
Natural dorsal hump contour
Improved symmetry of nostrils
Balanced nasolabial angle

Closing Remarks

For patients with a history of failed surgeries and complications like contraction or upturned noses, autologous rib cartilage revision rhinoplasty provides a safe and lasting solution. At Nose Lab Clinic, we combine stem cell therapy, ENT expertise, and advanced surgical planning to achieve natural, stable, and beautiful results.

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

Thank you.