Revision Rhinoplasty Korea – Correcting Upturned Nose and Thin Nasal Tip Skin

noselab
5월 21일
2분 분량

최종 수정일: 9월 25일

Revision Rhinoplasty Korea – Patient Background and Surgical History

15 Years Ago: Primary Surgery in Bucheon

I-shaped silicone implant
Ear cartilage graft (septal cartilage use unknown)
Resulted in thin nasal tip skin and upturned nose

Preoperative design consultation photos showing the patient's frontal, left oblique, and left side views before revision rhinoplasty for upturned nose and thin nasal tip skin. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Preoperative Assessment – Why This Revision Rhinoplasty Case Was Complex

Preoperative design consultation photos showing the patient's right side, right oblique, and nostril views before revision rhinoplasty for thin nasal tip skin and upturned nose. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Major Aesthetic and Structural Concerns

Severely thin nasal tip skin with visible cartilage outline
Over-rotated, upturned nasal tip
Asymmetrical nostrils
Deviated columella
High radix

View-by-View Analysis Before Revision Rhinoplasty

Frontal View: Upturned nose, visible nostrils, asymmetry
Side View: Sharp tip, flat columella, wide nasolabial angle
Nostril View: Deviation and imbalance

Surgical Goals for Revision Rhinoplasty Korea

Reduce nasal tip cartilage visibility
Correct the over-rotated and upturned shape
Improve nostril symmetry and columella position
Achieve a softer, more natural nasal contour
Reinforce thin skin to prevent future complications

Revision Rhinoplasty Korea – Surgical Techniques and Material Selection

Structural Reconstruction

Septal extension with autologous rib cartilage
Removal of outdated silicone implant
Alar cartilage repositioning
Septoplasty and turbinate reduction
Nasolabial angle correction

Aesthetic Enhancements

Tip rotation and elongation
Columella realignment
Radix lowering for improved balance

Skin Augmentation Techniques

Fat grafting at nasal tip
Synthetic dermal graft to mask cartilage edges and support skin thickness

Before & After Results – Revision Rhinoplasty Korea Outcomes

Frontal View

Cartilage visibility eliminated
Improved nostril symmetry
Natural tip refinement

Side View

Better nasolabial angle
Downward-rotated, softened nasal tip
Harmonized radix and columella

Nostril View

Balanced nostrils
Straightened nasal base

Expert Commentary – Insights from a Revision Rhinoplasty Korea Specialist

Immediately after surgery: Frontal, oblique, and side view photos showing reduced nostril exposure, improved nasal tip projection, and realigned columella. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after surgery: Nostril view showing improved symmetry and repositioned columella with visible healing at the incision site. — Immediately after surgery: Nostril view photos.

This case required a layered approach to structural and soft tissue correction. The combination of fat grafting and synthetic dermis was essential to protect thin skin and ensure long-term durability. Autologous rib cartilage served as the core foundation for reshaping and stabilizing the nasal framework after removing the old implant.

Customized techniques—rather than standard rhinoplasty methods—allowed us to restore both function and appearance. This case clearly demonstrates the importance of individualized planning in complex revision rhinoplasty cases in Korea.