Nostril Asymmetry Correction After Alar Reduction – Autologous Rib Cartilage Revision Case

noselab
5월 4일
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최종 수정일: 9월 25일

Case Overview – Addressing Nostril Asymmetry and Upturned Tip

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

Today, I’d like to share the case of a patient who underwent multiple surgeries, including alar base reduction, and later returned for a nostril asymmetry correction and upturned nasal tip revision using autologous rib cartilage.

📍Surgical Background

Preoperative photos showing frontal, left oblique, and left side views before nostril asymmetry correction and upturned nose revision surgery using autologous rib cartilage. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical History

2014: Deviated septum correction + rhinitis surgery + silicone dorsal implant + septal extension (later TP revision)
2015: Nose bridge, tip, and philtrum filler injection (dissolved 3 years later)
2018: Alar base reduction
2021: Philtrum shortening surgery

🔎 Preoperative Analysis

Preoperative photos showing right side, right oblique, and nostril views before revision rhinoplasty for nostril asymmetry and upturned nose using autologous rib cartilage. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Frontal View

Bulbous nasal tip
Asymmetric nostrils
Deviated nose

Side View

Upturned nasal tip
Prominent upper lip
Irregular nasal dorsum
Hump-like appearance

Oblique View

Upturned, bulbous tip
Protruding upper lip

Nostril View

Clear asymmetry due to prior alar reduction
Visible scar tissue at nostril base

Additional Findings

Preexisting rhinitis
Narrower right nasal cavity

✨ Patient’s Concerns and Goals

Correct drooping alar contour
Smooth out step deformity from implant
Realign deviated nose
Achieve nostril and alar rim symmetry
Improve nasolabial angle
Asked about scar revision (not recommended due to risk of worsened scarring)

✅ Surgical Strategy and Results

Frontal View

Straighter nasal alignment
Balanced nostril shape
Improved nasal refinement

Side View

Lowered nasal tip
Smoother dorsal contour
Reduced upper lip prominence

Nostrils View

Improved nostril symmetry
Alar rim correction

Before and after nostril view of revision rhinoplasty using rib cartilage to improve nostril asymmetry and correct alar base scarring. — Before Surgery (Left) / Immediately After Surgery (Right)

👨‍⚕️ Surgeon’s Insight on Nostril Asymmetry Correction

rib cartilage to correct nostril asymmetry and upturned tip. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Nostril view immediately after revision rhinoplasty using rib cartilage to correct asymmetry and scar from previous alar base reduction. — Immediately after surgery: Nostril view photos.

This case presented complex challenges due to prior alar base reduction and philtrum shortening. The nostril asymmetry and visible scarring were major concerns.

Rather than revising the scar (which could worsen it), we focused on structural repositioning to visually improve nostril asymmetry. Rib cartilage was used for nasal tip support and dorsal reshaping. Functional concerns such as narrow nasal passage and rhinitis were also addressed.

In the end, the patient achieved better nostril balance, a refined tip, and a more harmonious nasal contour.

Thank you for reading.

This has been Dr. Cha-Young Kang, Director of NOSELAB Clinic.