Crooked Nose Correction , Nostril Exposure Reduction, and Nasal Tip Elevation – A Case Study

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

Today, I’m sharing a case involving crooked nose correction, nostril exposure reduction, and nasal tip elevation using autologous rib cartilage rhinoplasty. This patient had a crooked nose, visible nostrils, a drooping nasal tip, and severe allergic rhinitis. This case highlights a balanced approach to functional and aesthetic nasal reconstruction.

##Crooked Nose Correction, Nostril Exposure Reduction, and Nasal Tip Elevation Case

📍 Surgical History

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

• 10 years ago: Hyaluronic acid nasal filler

• 5 years ago: Rib cartilage + osteotomy + silicone implant surgery (with filler removal)

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

🔎 Initial Presentation

Functional Issues

• Severe nasal congestion and rhinitis

Structural Concerns

• Severely compromised nasal septum, requiring reconstruction

Aesthetic Concerns

• Crooked nasal bridge

• Excessive nostril exposure

• Drooping nasal tip

✨ Patient Goals

• Straighten the crooked nose

• Reduce nostril visibility

• Elevate the drooping nasal tip

• Maintain a refined appearance (satisfied with prior silicone result)

💉 Surgical Approach for Crooked Nose Correction, Nostril Exposure Reduction, and Nasal Tip Elevation

Structural Correction

• Septal reconstruction with autologous rib cartilage

• Nasal tip refinement using autologous cartilage

• Lateral osteotomy for realignment of the nasal bones

Aesthetic Refinement

• Reduction of nostril exposure

• Nasolabial angle correction

• Harmonization of nasal contours

Functional Improvement

• Septoplasty and submucosal inferior turbinate reduction using radiofrequency to treat severe rhinitis

✅ Surgical Outcomes

Preoperative Video / Immediate Postoperative Video

Functional

• Significant improvement in rhinitis symptoms

• Restored nasal airflow and breathing

Before (Left) / Immediately After (Right)

Frontal View

• Naturally straightened nasal bridge

• Markedly reduced nostril exposure

• Balanced and symmetrical nasal shape

Before (Left) / Immediately After (Right)

Profile View

• Elevated nasal tip

• Improved nasolabial angle

• Soft, natural side profile

• Harmonized facial proportions

Before (Left) / Immediately After (Right)

Structural Stability

• Securely reconstructed septum

• Durable long-term structural support

👨‍⚕️ Specialist Commentary

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

This patient had undergone nasal filler injections a decade ago, followed by rib cartilage and silicone rhinoplasty five years prior. While satisfied with the overall appearance, she later experienced issues with a crooked nasal bridge, exposed nostrils, and a drooping tip—all of which became more pronounced over time.

On examination, the septum was found to be severely compromised, requiring comprehensive structural reconstruction. This was addressed with autologous rib cartilage, which provided the strength and stability needed for reliable long-term results.

To realign the crooked nose, we performed a precise lateral osteotomy. The nasal tip was elevated and refined using a combination of septal and conchal cartilage. These maneuvers not only improved the aesthetic contour but also corrected the excessive nostril exposure.

A key part of this surgery was nasolabial angle correction, which helped soften the profile and improved the appearance of upper lip protrusion. By raising the drooping tip, we restored a more youthful and balanced look.

Functionally, the patient had long struggled with nasal congestion due to chronic rhinitis. Septoplasty combined with radiofrequency submucosal turbinate reduction effectively addressed this issue, significantly improving her quality of life.

This case exemplifies how crooked nose correction, nostril exposure reduction, and nasal tip elevation can be successfully integrated to achieve natural, long-lasting results tailored to a patient’s goals and needs.

Thank you,Dr. Cha-Young KangMedical Director, Nose Lab Clinic

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