Revision Rhinoplasty Korea: Closed Approach for a Deviated and Upturned Nose

noselab
2024년 10월 29일
3분 분량

최종 수정일: 9월 29일

Patient’s Surgical History and Concerns

This patient presented with complex nasal issues after multiple prior surgeries, including donor rib grafts, autologous rib cartilage, and silicone implants performed at other clinics. Previous complications included risk of nasal tip necrosis, requiring emergency reduction surgery just five days after one operation.

Patient’s Concerns:

Upturned nasal tip
Deviated bridge
Widened nasal structure
Protrusive lip profile
Depressed nasal tip skin with pigmentation
Asymmetrical nostrils

Pre-surgery design consultation – combined frontal, side, and oblique side views before Revision Rhinoplasty Korea with closed approach, showing deviated bridge, upturned nasal tip, and widened nasal structure. — Pre-Surgery Design Consultation: Frontal View, Side View, and Oblique Side View

Pre-Surgical Condition Analysis

Frontal View: Visible nostrils, deviated bridge, widened nasal appearance
Side View: Upturned tip, high nasion, protrusive lip profile
Oblique View: Noticeably widened bridge and tip
Nostril View: Skin depression, pigmentation, scar tissue, and nostril asymmetry

Pre-surgery design consultation – combined nostril, side, and oblique side views before Revision Rhinoplasty Korea with closed approach, showing nostril asymmetry, depressed nasal tip skin, and deviated nasal bridge. — Pre-Surgery Design Consultation: Frontal View, Side View, and Oblique Side View

Pre-surgery nasal tip photo – nostril view showing skin depression, pigmentation, and scarring before Revision Rhinoplasty Korea with closed approach. — Photos of the Nasal Tip with Skin Depression and Pigmentation

Surgical Plan – Strategic Closed Revision Rhinoplasty

Septal Reconstruction

Used autologous rib cartilage to rebuild structural support

Nasal Tip and Columella Correction

Lowered the upturned tip using a septal extension graft
Adjusted the nasolabial angle to improve facial balance

Bridge and Width Correction

Lateral osteotomy for a deviated bridge
Refinement of widened nasal structure

Nostril and Skin Correction

Reconstructed septum and repositioned alar cartilage for symmetry
Grafted cartilage and dermis to correct skin depression and pigmentation

Surgical Process – Closed Approach for Safety

Due to the high risk of nasal tip necrosis, an open approach was deemed too dangerous. A closed approach allowed:

Reduced risk of vascular damage
Better preservation of blood circulation
Ability to manage complex corrections simultaneously

During the procedure:

Autologous rib cartilage was harvested to replace damaged septal cartilage
Temporary blanching of the tip was resolved using vasodilators and circulation-stabilizing medications
Grafting restored volume and improved scarred, pigmented skin

Post-Surgical Results – Before & After Comparison

Before and after comparison – frontal view of a patient before surgery (left) and immediate results after Revision Rhinoplasty Korea with closed approach (right), showing reduced nostril exposure, refined nasal tip, and straightened bridge. — Before Surgery (Left) / Immediately After Surgery (Right)

Front View:

Reduced nostril visibility, balanced nasal tip, straightened bridge

Side View:

Natural downturned tip, nasolabial angle corrected to ~95°

Oblique View:

Improved symmetry, minimized scar tissue, corrected skin depression

Before and after comparison – nostril view of a patient before surgery (left) and immediate results after Revision Rhinoplasty Korea with closed approach (right), showing improved nostril symmetry, corrected columella scars, and restored nasal tip skin. — Before Surgery (Left) / Immediately After Surgery (Right)

Key Insights – Revision Rhinoplasty Korea

Closed rhinoplasty minimizes necrosis risk in high-risk revisions
Autologous rib cartilage provides durable structural support
Careful circulation management ensures safe correction of complex nasal deformities
Tailored approach addresses both functional and aesthetic needs

Photos immediately after surgery – combined frontal, side, and oblique side views after Revision Rhinoplasty Korea with closed approach, showing refined nasal tip, straightened bridge, and improved facial balance. — Photos Immediately After Surgery: Frontal, Side, and Oblique Side Views

Photo immediately after surgery – nostril view following Revision Rhinoplasty Korea with closed approach, showing improved nostril symmetry, minimized columella scarring, and restored nasal tip skin. — Photos Immediately After Surgery: Nostril View

Closing Remarks

At Nose Lab Clinic, we specialize in Revision Rhinoplasty Korea using a closed approach to manage even the most complex cases safely. Patients with deviated, upturned, or widened noses — especially those with necrosis risks — can achieve safe and natural results without the vascular dangers of open surgery.

Thank you,

Dr. Cha-Young Kang

Director of Nose Lab Clinic

NoseLab performs all surgeries using the closed rhinoplasty technique.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

Revision Rhinoplasty Korea – Safe and Closed Approach for Deviated and Upturned NoseAt NoseLab Clinic, we specialize in safe revision rhinoplasty for patients facing risks such as nasal tip necrosis, deviated bridge, and upturned nose after multiple surgeries. Using a closed approach with autologous rib cartilage, we correct asymmetry and restore both function and natural beauty.

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