Implant-Free Rhinoplasty Using Rib Cartilage – Correcting Nostril Asymmetry and Drooping Tip

noselab
4월 19일
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최종 수정일: 9월 25일

Introduction

A Natural Result with Implant-Free Rhinoplasty Using Rib Cartilage

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

Today, I’m sharing the case of a patient who previously underwent multiple nasal surgeries and wanted a completely natural result without silicone. Using only autologous rib cartilage, we achieved a stable, refined, and implant-free rhinoplasty outcome.

Frontal, left side, and oblique views of a female patient before implant-free rhinoplasty using rib cartilage, showing asymmetry and drooping nasal tip. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

📍 Surgical History

Patient’s Previous Surgeries and Concerns

15 years ago: Silicone + septal cartilage + ear cartilage rhinoplasty
10 years ago: Implant-free revision using donated rib cartilage

🔎 Initial Assessment

Frontal View

Nostril asymmetry
Excessive nostril show
Wide nasal base

Right side, oblique, and nostril views of a female patient before implant-free rib cartilage rhinoplasty, showing nostril asymmetry and wide nasal base. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Side Profile

Lowered columella
Lifted tip with a smooth dorsal line
Harmonized nasolabial angle

Additional Findings

Scar on right columella
Septal deviation to the left
Weakened septal cartilage
Left-sided airway obstruction

Nasal endoscopy showing septal deviation and weakened septal cartilage due to previous over-harvesting. — Nasal Endoscopy Photos

✨ Patient Goals

Improve nostril asymmetry
Reduce nostril show
Lower the columella, refine the nasolabial angle
Achieve natural results without silicone

Reference images provided by the patient to illustrate her desired nose shape. — The Desired Images of the Patient

💉 Surgical Plan

Structural Reinforcement with Rib Cartilage

Addressed damaged septum from previous surgeries
Reconstructed the septum using autologous rib cartilage
Corrected septal deviation

Implant-Free Dorsal and Tip Refinement

Narrowed nasal bones through lateral osteotomy
Created a smooth dorsal line using rib cartilage, not silicone
Lowered the columella for better proportions

Final Touches

Used crushed cartilage + dermis to refine bridge
Corrected nostril asymmetry and columellar scar
Improved nasolabial angle

✅ Postoperative Results

Frontal View

Balanced nostrils
Slimmer and more elegant contour
Reduced nostril show

Side view comparison before and immediately after autologous rib cartilage rhinoplasty without implants. — Before (Left) / Immediately After (Right)

Side Profile

Straight dorsal line without implant
Lower columella with natural projection
Harmonized tip and mouth angle

Oblique side view before and immediately after autologous rib cartilage rhinoplasty without implants. — Before (Left) / Immediately After (Right)

Functionality

Improved nasal airflow
Strong, reinforced structure

Nostril base view before and immediately after autologous rib cartilage rhinoplasty to correct asymmetry without implants. — Before (Left) / Immediately After (Right)

👨‍⚕️ Surgeon’s Commentary

Postoperative frontal, side, and oblique view of the patient after implant-free nasal reconstruction using rib cartilage. — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

This was a complex implant-free rhinoplasty performed on a patient with a history of overharvested septal cartilage and previous revisions. The asymmetry and weak structure required a complete rebuild using rib cartilage. No silicone or artificial materials were used.

The result is a natural, proportionate nasal shape with improved airflow and stability.

At Nose Lab Clinic, all surgeries are performed using the closed rhinoplasty technique—without visible external scars.

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