6th Revision Rhinoplasty: Restoring Natural Balance to an Upturned Nose

noselab
2024년 10월 30일
2분 분량

최종 수정일: 9월 29일

Surgical History and Patient’s Long Journey with Revision Rhinoplasty

Between 2009 and 2014, the patient underwent five rhinoplasty surgeries using septal cartilage, ear cartilage, donor rib cartilage, autologous rib cartilage, and silicone implants. Despite multiple attempts, her nose appeared increasingly artificial. She also received filler injections eight years ago.

Pre-Surgical Analysis and Design Consultation for Revision Rhinoplasty

Our consultation revealed several key issues:

Pre-surgery design consultation photos showing frontal, right side, and oblique side views of the patient before revision rhinoplasty. — Pre-Surgery Design Consultation: Frontal View, Right Side View, and Oblique Side View Photos

Upturned nasal tip
High starting point of the bridge
Artificial, arched “soft bridge” shape
Nostril asymmetry and scars from philtrum and alar reduction
Columella scarring from multiple open rhinoplasty procedures

These findings emphasized the need for a tailored revision rhinoplasty approach.

Pre-surgery design consultation photos showing nostril view, right side view, and oblique side view of the patient before revision rhinoplasty — Pre-Surgery Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos

Patient’s Goals for Revision Rhinoplasty

The patient hoped for:

A naturally refined, elegant nose
A straight bridge with a subtle curve
Correction of the upturned tip
Improved nostril symmetry

Surgical Plan – Complex Revision Rhinoplasty Strategy

Our surgical plan included:

Septal Extension Graft: Correcting the upturned tip and shaping the nasal tip precisely
Reuse of Existing Autologous Tissue: Incorporating rib, septal, and ear cartilage
Additional Rib Cartilage Harvesting: Ensuring stable septal reconstruction
Removal of Foreign Substances: Clearing filler and silicone
Customized Silicone Implant: Positioned slightly lower for a natural bridge

Due to severe septal cartilage damage from prior surgeries, we reconstructed the septum with autologous rib cartilage—an essential step in this complex revision rhinoplasty.

Immediate Post-Surgical Results

Side View: Lower, more natural bridge and corrected nasolabial angle

Before and immediately after revision rhinoplasty: lateral side view comparison showing nasal bridge correction and tip refinement — Before Surgery (Left) / Immediately After Surgery (Right)

Oblique View: Elegant, cohesive profile

Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View: Straighter, natural bridge and improved nostril balance

Before and immediately after revision rhinoplasty: frontal view comparison showing nasal symmetry correction and tip refinement. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View: Reduced asymmetry and refined nostril appearance

Before and immediately after revision rhinoplasty: nostril view comparison showing nostril asymmetry correction and columella alignment. — Before Surgery (Left) / Immediately After Surgery (Right)

Conclusion – The Importance of a Tailored Revision Rhinoplasty

This 6th revision rhinoplasty case underscores the importance of personalized planning and expertise. Multiple open surgeries often leave scar tissue, which makes further open approaches risky. Closed rhinoplasty can be a safer, more refined option in such complex cases.

At Nose Lab Clinic, we are committed to achieving safe, natural, and satisfying outcomes through structural, closed techniques.

Nose Lab Clinic performs all surgeries using a closed rhinoplasty approach.