Correcting Nostril Stenosis and Upturned Nose: A Real Revision Rhinoplasty Case

noselab
1월 18일
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최종 수정일: 9월 26일

Correcting Nostril Stenosis in Complex Revision Rhinoplasty Cases

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’d like to share the story of a patient who came to us with concerns about Correcting Nostril Stenosis and nasal obstruction following multiple surgeries. This case demonstrates the importance of addressing both structural and functional challenges in revision rhinoplasty.

Correcting Nostril Stenosis – Design consultation showing frontal, left side, and oblique side view photos before revision rhinoplasty. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

1. Surgical History and Symptoms

Correcting Nostril Stenosis: Patient's Medical Background

January 2023: Silicone implant + septal cartilage + ear cartilage graft. (Left nostril began to narrow after 2–3 months.)
July 2023: Left nostril expansion surgery + silicone + donated rib cartilage. (Left alar collapse occurred one month later.)
Current symptoms: Left nostril obstruction when lying on the right side.

2. Patient Goals

Correcting Nostril Stenosis for Functional and Aesthetic Improvement

Correct pinched appearance of the nose.
Improve nasolabial angle.
Address upturned nasal tip.
Resolve left-side nasal obstruction.
Restore symmetry and address columellar depression.
Achieve a harmonious straight nasal line that suits the face.

Correcting Nostril Stenosis – Design consultation showing right side, oblique side, and nostril view photos before revision rhinoplasty. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

3. Problem Analysis

Correcting Nostril Stenosis: Identifying the Root Cause

The left nasal cavity showed significant stenosis caused by:

Excessive alar cartilage damage during previous surgeries.
Improper suturing techniques, leading to both internal and external nasal valve collapse.

4. Surgical Approach

Correcting Nostril Stenosis with Structural Reconstruction

Correcting Nostril Stenosis – Before (left) and immediately after (right) revision rhinoplasty side view photos. — Before (Left) / Immediately After (Right)

a. Structural Reconstruction

Skin grafts were used to compensate for insufficient tissue.
Complete alar cartilage reconstruction.
Maximized nasal cavity space to improve airflow.

Correcting Nostril Stenosis – Before (left) and immediately after (right) revision rhinoplasty, close-up side view photos — Before (Left) / Immediately After (Right)

b. Prioritizing Stability

Autologous rib cartilage was used to prevent inflammation.
Avoided silicone implants, opting instead for all-natural autologous materials.
Ensured all grafts were biocompatible to minimize risks of future complications.

Correcting Nostril Stenosis – Before (left) and immediately after (right) revision rhinoplasty, front view photos showing improved nostril symmetry. — Before (Left) / Immediately After (Right)

Correcting Nostril Stenosis – Before (left) and immediately after (right) revision rhinoplasty, nostril view showing widened and symmetrical nasal openings. — Before (Left) / Immediately After (Right)

5. Specialist Insights

Correcting Nostril Stenosis in Difficult Revision Cases

Preventing Inflammation: Inflammation exacerbates stenosis, so meticulous techniques are essential.
Comprehensive Reconstruction: Both internal and external nasal valves must be restored.
Using Autologous Materials: Minimizes complication risks and improves long-term stability.

Correcting Nostril Stenosis – Immediately after revision rhinoplasty, frontal, oblique side, and side view showing improved nasal symmetry and structure. — Immediately After Surgery: Frontal, Oblique Side, and Side View Photos

Correcting Nostril Stenosis – Immediately after surgery, nostril view showing improved nasal opening and symmetry after revision rhinoplasty. — Immediately After Surgery: Nostril View Photos

Closing Thoughts

This case highlights the importance of precision, expertise, and patient-centered care in revision rhinoplasty. At Nose Lab Clinic, we remain committed to providing safe, tailored solutions for complex cases like these.

Nose Lab performs all surgeries using a closed rhinoplasty approach.