Revision Rhinoplasty for Short Nose – Correcting Crooked Nose and Nostril Exposure

noselab
5월 17일
2분 분량

최종 수정일: 9월 25일

Hello, this is Dr. Cha-Young Kang, Medical Director of NOSELAB Clinic.

Today, I’m sharing a case involving a patient with a short, crooked nose and significant nostril exposure. We performed a revision rhinoplasty for short nose using autologous rib cartilage with minimal calcification to ensure long-term stability and a natural aesthetic result.

Patient History and Concerns

Preoperative consultation photos showing frontal, left oblique, and left side views of a patient with nasal asymmetry and short nose before revision rhinoplasty — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical History

15 years ago: Primary rhinoplasty using a silicone implant and ear cartilage graft

Main Concerns

Crooked nasal bridge
Short nose and upturned tip
Overexposed nostrils
Bulbous nasal tip
High radix (nasal starting point)
Chronic rhinitis symptoms

Preoperative consultation images showing right side view, right oblique view, and nostril view of a patient with nasal asymmetry and short nose before revision rhinoplasty. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan for Revision Rhinoplasty for Short Nose

Preoperative Assessment

Chest X-ray confirmed calcification in several costal cartilage segments
Right 8th rib selected for its minimal calcification

Surgical Strategy

Structural reconstruction with autologous rib cartilage
Septal extension to lengthen the nose
Alar base lowering to reduce nostril exposure
Radix lowering to soften the profile
Tip refinement for a more balanced look
Simultaneous surgery to improve rhinitis symptoms

Results After Revision Rhinoplasty for Short Nose

Frontal comparison of patient before surgery (left) and immediately after revision rhinoplasty (right), showing correction of short, crooked nose and nostril asymmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Functional Improvements

Inferior turbinate reduction
Alleviation of rhinitis symptoms expected

Lateral comparison before and after revision rhinoplasty: Correction of short nose, high radix, and upturned nasal tip using autologous rib cartilage — Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Results

Straighter nasal bridge (frontal view)
Reduced nostril show
Appropriately lengthened and repositioned tip (side view)
Lower radix for a natural slope
Enhanced nasolabial angle
Improved nostril symmetry (nostril view)

Oblique view comparison before and immediately after revision rhinoplasty: Reshaping of bulbous tip, correction of nasal deviation, and improved nasal projection using minimally calcified rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril base comparison before and immediately after revision rhinoplasty: Correction of asymmetry and excessive nostril show using rib cartilage graft. — Before Surgery (Left) / Immediately After Surgery (Right)

Key Insights from This Revision Rhinoplasty for Short Nose

Immediately after revision rhinoplasty: Frontal, side, and oblique views showing improved nasal length, tip projection, and nostril exposure — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after revision rhinoplasty: Nostril view showing improved symmetry and reduced nostril exposure — Immediately after surgery: Nostril view photos.

Strategic Cartilage Selection

By preoperatively identifying calcified costal cartilage, we were able to safely harvest a viable portion, minimizing risks such as pneumothorax and graft failure.

Multidimensional Correction

We addressed both aesthetic and functional issues—correcting the short nose, tip position, and nostril exposure while also improving breathing through turbinate reduction.

Thank you for reading.

This has been Dr. Cha-Young Kang from NOSELAB Clinic.