Successful Nasal Contracture Reconstruction – Functional and Structural Restoration

noselab
2024년 12월 19일
2분 분량

최종 수정일: 9월 26일

Successful Nasal Contracture Reconstruction – Functional and Structural Restoration

Hello, I’m Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I would like to share a case of severe nasal contracture that occurred after multiple rhinoplasties, resulting in both functional and cosmetic problems.

🔍 Patient’s Surgical History

2010: Silicone, Ear Cartilage
January 2024: Autologous Costal Cartilage, Silicone
July 2024: Reuse of costal cartilage, ear cartilage, silicone (7 subsequent cyst aspirations)
August 2024: Removal of silicone and costal cartilage
Ongoing medication

💉 Main Symptoms and Requirements

Improvement of nasal contracture
Functional restoration of nasal breathing
Relief of congestion in the left nasal passage

Design consultation front, left oblique side, and side profile.

Design consultation right side, oblique side, nostrils photo.

🔧 Pre-operative Analysis

Frontal View:

Wide nose bridge
Short and deviated nose
Excessively visible and asymmetric nostrils

Side Profile:

Beak-shaped hump
Upturned nose
Retracted columella

Nostril View:

Bilateral asymmetry
Columella deviation to the left
Blunt, thick nasal tip

💉 Surgical Procedure

Before and after frontal view of nasal contracture reconstruction with rib cartilage graft and closed rhinoplasty — Before (left) and after (right)

Structural Reconstruction

Complete reconstruction of the nasal septum with autologous costal cartilage
Removal of contractured tissue
Alar cartilage reconstruction
Lowering of the left nostril

Before (left) and after (right)

Shape Improvement

External osteotomy to correct wide nasal bridge
Bridge augmentation with costal cartilage
Septal extension graft for deviated nose correction
Columella reconstruction
Nasolabial angle correction

Before and after 45-degree oblique view of nasal contracture reconstruction with rib cartilage graft and closed rhinoplasty — Before (left) and after (right)

Functional Restoration

Septal deviation correction
Submucosal resection of inferior turbinates using high-frequency laser (rhinitis surgery)

Before and after nostril view of nasal contracture reconstruction with rib cartilage graft and closed rhinoplasty, showing improved symmetry — Before (left) and after (right)

reconstruction – damaged septum, remaining septum, and expected original range marked — Checking the condition of the septal cartilage during surgery.

💡 Expert opinion

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

closed rhinoplasty — Photo of the nostrils after surgery

In severe nasal contracture, the most critical step is removing the causing agent thoroughly and reconstructing the damaged structures.Only by eliminating as much contractured tissue as possible and rebuilding the weakened cartilage can long-term stability be achieved.

To prevent recurrence, additional supportive therapies such as stem cell injection, antibiotics, hyperbaric oxygen therapy, and helium laser treatment are considered.

The most important goal of nasal contracture reconstruction is structural stability. Cosmetic refinement can only follow once the foundation is rebuilt—just as a strong building requires a solid base.

For this reason, we often approach severe nasal contracture in stages: the first surgery focuses on reconstruction, while the second stage addresses cosmetic refinement. This ensures safer and more sustainable results.

At Nose Lab Clinic, we will continue to provide systematic and professional care for both functional recovery and natural beauty.

Thank you,Dr. Cha-Young Kang

Nose Lab performs all procedures via closed rhinoplasty.