Restoring Natural Beauty Through Complex Revision Rhinoplasty

noselab
4일 전
2분 분량

Hello, this is Dr. Cha-Young Kang, Chief Director of NoseLab Plastic Surgery in Seoul.

Today, I’d like to share a particularly meaningful Revision Rhinoplasty case — a patient who had undergone multiple nose surgeries over nearly two decades. After years of complications and disappointment, she finally achieved a natural and stable result through complete nasal reconstruction using autologous rib cartilage.

Patient Background and Challenges Before Revision Rhinoplasty

Preoperative consultation photos for revision rhinoplasty — showing frontal, 45-degree oblique, and side views before surgery. The images display nasal asymmetry and structural collapse prior to reconstruction using autologous rib cartilage. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Over the past 19 years, the patient had a complex surgical history:

19 years ago: First rhinoplasty for droopy nose correction
10 years later: Revision with Gore-Tex implant → inflammation after 5 years
3 years ago: Implant removal
2 years ago: Revision with silicone + donated dermis
1 year ago: Columella reconstruction
5 months ago: Additional revision at another clinic

She also presented with septal perforation and scar tissue from previous surgeries.Her main goals were to achieve a natural nasal contour, correct the collapsed columella, and maintain long-term stability without inflammation.

Preoperative consultation photos for revision rhinoplasty — showing right side, 45-degree oblique, and nostril views. These images illustrate nasal deviation, collapsed tip support, and asymmetry before reconstruction using autologous rib cartilage. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Rib Cartilage Reconstruction for Structural Stability

Complete Revision Rhinoplasty was performed using autologous rib cartilage to restore both form and function.

1. Complete Septal Reconstruction Rebuilt the entire nasal septum using rib cartilage to strengthen internal support and correct deviation.

2. Removal of Damaged Tissue and Mucosal Repair Removed exposed materials and repaired damaged nasal mucosa.

3. Septal Perforation Repair Closed a 7 mm perforation with auricular perichondrium to restore healthy tissue continuity.

4. Alar Cartilage and Columella Reconstruction Both alar cartilages were replaced with rib cartilage to create a well-defined, natural nasal tip.

5. Bridge Augmentation Avoided synthetic implants; rebuilt dorsal height solely with rib cartilage for durability and safety.

All steps were done via closed rhinoplasty, using only the patient’s tissue to ensure a low risk of inflammation or distortion. Results and Specialist’s Insight on Revision Rhinoplasty

Before and immediately after revision rhinoplasty — frontal view comparison. The images show correction of nasal asymmetry, improved nasal tip projection, and restoration of columella alignment following rib cartilage reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after revision rhinoplasty — side view comparison. The photos show improved nasal bridge height, natural dorsal contour, and enhanced nasal tip projection after rib cartilage reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after revision rhinoplasty — oblique side view comparison. The images show refined nasal contour, smoother dorsal line, and improved nasal tip definition after structural reconstruction with autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after revision rhinoplasty — nostril view comparison. The images show improved nostril symmetry, restored columella projection, and natural internal structure after septal and alar cartilage reconstruction using rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgical Results Postoperative photos show a naturally balanced and symmetrical nose.

Softer, elegant nasal line with ideal tip projection
Corrected nostril asymmetry and columella collapse
Stable internal support for long-lasting results

When the patient saw her result and said, “It finally feels like my own nose again,” it marked the emotional conclusion of her 20-year journey. Specialist’s Insight In complex revision rhinoplasty, multiple prior surgeries often lead to tissue depletion and internal weakness. Autologous rib cartilage provides the strength and safety necessary for both aesthetic and structural restoration.

At NoseLab Plastic Surgery, we specialize in closed revision rhinoplasty using autologous grafts to achieve natural, durable, and functional outcomes for even the most challenging cases.