Revision Rhinoplasty with Autologous Rib Cartilage – Correcting a Deviated Nose and Protruding Mouth

noselab
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최종 수정일: 9월 26일

[Nose Lab Clinic]

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

Today, I’m sharing a revision rhinoplasty with autologous rib cartilage case, where a patient underwent nasal reconstruction to correct a deviated nose and improve a protruding mouth. This case highlights the importance of structural stability and aesthetic balance in complex revision rhinoplasty.

Pre-surgery frontal, left side, and oblique side view of a patient with deviated nose and protruding mouth before revision rhinoplasty with autologous rib cartilage — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

1. Surgical History

2009: Silicone implant + Septal cartilage graft.

Pre-surgery right side, oblique side, and nostril view of a patient with deviated nose and protruding mouth before revision rhinoplasty with autologous rib cartilage — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

2. Initial Assessment

Frontal View

Noticeable nasal deviation.
Implant translucency in the nasal bridge.
Bulbous and wide nasal tip.
Pinched appearance on the left side of the nasal tip.
Nostril asymmetry.

Side View

Elongated nose structure.
Visible protrusion of the upper lip.
Drooping nasal tip.

Oblique View

Overall disharmony in facial proportions.
Prominent upper lip projection.

Functional Issues

Mucus retention causing nasal discomfort.

3. Surgical Approach – Revision Rhinoplasty with Autologous Rib Cartilage

Removal of Existing Material

Safe removal of the Gore-Tex previously used in the nasal tip.
Careful excision of damaged tissue.

Removed Gore-Tex implant and damaged tissue extracted during revision rhinoplasty — Removed Gore-Tex

Structural Reconstruction

Reinforcement of nasal framework using autologous rib cartilage.
Septal extension graft for improved nasal support.
Nasolabial angle correction using rib cartilage for enhanced harmony.

Aesthetic Refinement

Straightening of the deviated nasal bridge.
Refinement of the nasal tip for a natural look.
Achieving nostril symmetry.

4. Postoperative Results

Frontal View

Corrected nasal deviation.
Resolution of implant translucency.
Well-defined and natural-looking nasal tip.
Elimination of nasal tip pinching.
Symmetric nostril shape.

Side View

Improved nasolabial angle, reducing the protruding mouth effect.
Softer and more natural nasal contour.
Adjusted nasal length for better proportions.
Correction of the drooping nasal tip.

Oblique View

Balanced facial contours.
Harmonious nasal and upper lip projection.
Smooth nasal bridge transition.

Nostril View

More symmetrical nostrils.
Refined and proportionate nasal tip.

5. Expert Insights

This case required the careful removal of Gore-Tex and precise reconstruction using autologous rib cartilage due to severe septal cartilage damage. Structural stability was the top priority, ensuring long-term nasal support while achieving the natural aesthetics the patient desired.

Immediately after closed rhinoplasty using autologous rib cartilage – frontal, side, and oblique side views — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately after closed rhinoplasty using autologous rib cartilage – nostril view — Immediately After Surgery: Nostril View Photos

Key takeaways from this case:

✅ Safe removal of problematic implants (Gore-Tex).

✅ Reinforcement with autologous rib cartilage for durability.

✅ Balance between nasal structure and facial harmony.

✅ Functional and aesthetic improvements in one surgery.

At Nose Lab Clinic, we specialize in revision rhinoplasty with autologous rib cartilage to restore both form and function. Nose Lab performs all surgeries using the closed rhinoplasty approach.