Revision Rhinoplasty for Contracted and Deviated Nose – A Case After Four Surgeries

noselab
4월 30일
2분 분량

최종 수정일: 9월 25일

Introduction to the Case

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

In this blog, I will share a complex case of revision rhinoplasty for a contracted and deviated nose following four previous surgeries. The patient suffered from a retracted (upturned) tip, nasal asymmetry, and filler-related distortion.

📍 Surgical History

Preoperative design consultation images showing frontal, left oblique, and left side views of a female patient before closed rhinoplasty. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

6–7 years ago: Silicone implant + ear cartilage
5 years ago: Implant replacement + septoplasty
4 years ago: Implant removal + autologous dermis + rib cartilage + alar base reduction
2 years ago: Tip revision with rib cartilage
1 year ago: Filler injection for low nasal bridge

🔍 Initial Observations (Revision Rhinoplasty for Contracted and Deviated Nose)

Preoperative design consultation images showing right side view, right oblique view, and nostril view of a female patient before closed rhinoplasty. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Frontal View:

Crooked bridge, bulky dorsum, bulbous tip
Alar base asymmetry, smaller left nostril

Side View:

High radix, drooping tip, small nasolabial angle

Nasal Base:

Asymmetrical nostrils, left side contracture

✨ Patient's Goals

Correct deviated bridge
Lower upturned tip (top priority)
Improve symmetry and projection
Use silicone implant for structure

💉 Surgical Plan – Revision Rhinoplasty for Contracted and Deviated Nose

1. Structural Correction:

Septal extension using autologous rib cartilage
Alar repositioning and nostril reshaping

2. Aesthetic Refinement:

Realignment of bridge
Nasolabial angle correction
Natural projection of nasal tip

3. Implant & Tissue Management:

Removal of filler and foreign material
Silicone dorsal implant for ideal height
Tension-free reconstruction to prevent recurrence

✅ Surgical Results

Frontal View:

Straight, balanced nasal line
Improved alar symmetry

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

Side View:

Naturally projected tip
Reduced lip protrusion due to better angle

Nasal Base:

Even nostrils
Corrected pinching and contracture

Nostril base view before and immediately after closed revision rhinoplasty. Left: narrow, asymmetrical nostrils with alar pinching. Right: widened left nostril and improved symmetry through alar base reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

👨‍⚕️ Surgeon’s Insight

Postoperative images showing frontal, side, and oblique side views immediately after closed revision rhinoplasty to correct nasal asymmetry and tip retraction. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Nostril view immediately after closed revision rhinoplasty, showing corrected asymmetry and reshaped nasal base. — Immediately after surgery: Nostril view photos.

This revision rhinoplasty for contracted and deviated nose involved high difficulty due to prior surgeries and nasal tissue damage. The focus was to stabilize the lowered tip and improve symmetry using autologous rib cartilage and silicone. We also carefully removed residual filler to create a clean foundation for reconstruction.

Thank you for reading.

– Dr. Cha-Young Kang, Nose Lab Clinic

👉 At Nose Lab, all surgeries are performed using a closed (endonasal) approach to ensure minimal scarring and faster healing.