Reconstructive Rhinoplasty for Contracted Nose and Nostril Asymmetry

noselab
2024년 11월 8일
2분 분량

최종 수정일: 9월 26일

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

Today, I’m sharing a case involving a 22-year-old male patient who experienced contracted nose and nostril asymmetry after multiple rhinoplasty procedures. This case highlights the risks of repeated nasal surgeries and the importance of safe, reconstructive rhinoplasty for contracted nose in achieving stable and natural results.

Design consultation photos before reconstructive rhinoplasty for contracted nose – frontal, left oblique, and side views — Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

1. Patient’s Surgical History and Requirements

Surgical History:

2022: Cheekbone and jaw reduction surgery
2023: Septal and ear cartilage grafting with implant-free nostril reduction
2023: Revision surgery using autologous rib cartilage
2024: Nasal cartilage graft and implant-free surgery, followed by inflammation one week later requiring medication

Patient Goals:

Correct nostril asymmetry
Improve nasal structure and contour

2. Pre-Surgical Assessment for Reconstructive Rhinoplasty for Contracted Nose

Design consultation photos before reconstructive rhinoplasty for contracted nose – right side view, oblique side view, and nostril view — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Front View:

Visible nostril asymmetry
Noticeable deviation

Side View:

Low nasal bridge
Short, upturned tip

Nostril View:

Columella tilted to the left with nostril asymmetry

Due to inflammation from previous surgeries, stem cell therapy was first recommended. Definitive reconstructive rhinoplasty for contracted nose was scheduled three months later for optimal recovery.

3. Surgical Plan in Reconstructive Rhinoplasty for Contracted Nose

Lateral Osteotomy: Correcting the deviated bridge
Autologous Rib Cartilage Reconstruction: Rebuilding the nasal bridge and tip without implants for durability
Septal Reconstruction: Repairing septal damage from prior surgeries
Nasolabial Angle Correction: Improving facial harmony

4. Post-Surgical Results

Side View:

Smooth, natural profile after correcting uneven, low bridge
Improved nasolabial angle

Oblique View:

Refined bulbous tip for better definition
Proportionally elevated bridge

Frontal view before and immediately after reconstructive rhinoplasty for contracted nose – improved nasal symmetry and reduced nostril asymmetry — Before (Left) / Immediately After (Right)

Front View:

Clear improvement in alignment and symmetry
Reduced nostril asymmetry

Nostril View:

Corrected columella tilt
Balanced nostril shape

5. Understanding Implant-Free Rhinoplasty in Reconstructive Rhinoplasty for Contracted Nose

Implant-free rhinoplasty, especially in reconstructive rhinoplasty for contracted nose, uses natural tissues such as cartilage or dermis instead of synthetic implants.

Pros:

Lower infection risk
More natural look and feel

Cons:

Less predictable contouring
Limited shaping compared to implants

In this case, autologous rib cartilage provided stable support and minimized risks.

Final Thoughts

Patients with contracture and asymmetry require cautious planning. Reconstructive rhinoplasty for contracted nose should only be performed after full recovery and with safe materials.

At Nose Lab Clinic, we are committed to safe, effective, implant-free rhinoplasty tailored to each patient.

Thank you,

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

👉 At Nose Lab, all surgeries are performed using a closed (endonasal) approach.