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Correction of Crooked and Upturned Nose_Rhinoplasty Korea

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


Today, I’d like to share the story of a 28-year-old female patient who struggled with a crooked and upturned nose. Over the past six years, she underwent several rhinoplasty surgeries but was repeatedly disappointed with the results.


Looking at her surgical history, she had orthognathic surgery a year ago, and five to six years ago, she received a nose filler injection. Following that, she underwent a rhinoplasty with donated rib cartilage and silicone at a clinic in Gangnam, Seoul. Ten months ago, she had another rhinoplasty at a different clinic using her own rib cartilage and silicone. However, just five days later, she had to undergo another surgery to reduce the height of the nasal tip due to the risk of necrosis.


When I first saw her, the condition of her nose was highly complex. From the front, her nostrils were overly exposed, and the nose appeared wide, with the nasal bridge noticeably crooked. The side view showed an upturned tip and a high starting point of the nose, alongside signs of lip protrusion. In the nostril view, the right nasal tip showed skin depression, the columella had scar tissue protrusion on both sides, and there was clear nostril asymmetry.

Pre-Surgery Design Consultation Photos

Pre-Surgery Design Consultation Photos


The most concerning aspect of this case was the potential for compromised blood circulation in the nasal tip. It was suspected that the previous open surgery had caused damage to the columellar arteries and veins, leading to impaired blood flow to the nasal tip.


When planning the surgery, our top priority was the patient’s safety. We decided to use a closed (endonasal) approach to minimize the risk of further vascular damage. The surgical plan included the reconstruction of the damaged septum using the patient’s own rib cartilage, correction of the upturned nose, straightening the crooked bridge, refining the wide nasal base, improving lip protrusion, correcting nostril asymmetry, and addressing skin depression and scar tissue.


During surgery, as anticipated, there were signs of compromised blood flow to the nasal tip, with the skin becoming pale. However, thanks to the closed approach, we were able to resolve the issue without major complications. The damaged septal cartilage was reconstructed using autologous rib cartilage, and the upturned tip was brought down to a natural position. The crooked nasal bridge was straightened, and the wide appearance of the nose was slimmed down. Additionally, the nasolabial angle was adjusted to improve the appearance of lip protrusion.


Post-operative photos reveal a significant transformation. The excessive nostril show was greatly reduced, and the previously wide nasal tip now appears more natural. The crooked nasal bridge was corrected, and the upturned tip was lowered appropriately. The nasolabial angle was adjusted to approximately 95 degrees, reducing the appearance of lip protrusion, and the skin depression on the nasal tip, along with the scar tissue on both sides of the columella, were successfully addressed.

Before Surgery (Left) / After Surgery (Right)

Before Surgery (Left) / After Surgery (Right)

Before Surgery (Left) / After Surgery (Right)

Before Surgery (Left) / After Surgery (Right)


This case demonstrates that even in complex revision surgeries, safe and effective outcomes are achievable. In situations where an open approach poses significant risks, a closed approach can be an excellent alternative.


For those considering revision rhinoplasty, especially those worried about complications from previous surgeries, I want to offer a message of hope. A consultation with a specialist is essential to determine the best surgical method tailored to your unique condition. At Nose Lab Clinic, we always prioritize patient safety and satisfaction, utilizing personalized approaches to achieve optimal results.


Thank you. This is Dr. Cha-Young Kang at Nose Lab Clinic.


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