Scar Tissue, Nostril Asymmetry, and a Football Injury—Complete Nasal Reconstruction with Autologous Rib Cartilage

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Scar Tissue Nasal Reconstruction with Rib Cartilage: Restoring Form and Function

Hello, I’m Dr. Cha-Young Kang, Director of NoseLab Clinic.

Today, I’d like to present a complex case of scar tissue nasal reconstruction. The patient sustained a nasal fracture during military service while playing football, and subsequent revision surgeries left him with persistent scar tissue, nostril asymmetry, and impaired function. Using autologous rib cartilage, we achieved full structural and aesthetic restoration.

Surgical History and Scar Tissue Challenges

Preoperative design consultation photos before scar tissue nasal reconstruction with rib cartilage – frontal, oblique, and side view of male patient — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Military trauma: Nasal bone fracture during football
6 years ago: Tip and hump correction with ear cartilage
2 years ago: Nasal bone reconstruction
8 months ago: Silicone dorsal implant with functional surgery (excluding tip)

Despite these attempts, the patient developed internal fibrosis, nostril asymmetry, and an unstable nasal framework.

Preoperative design consultation photos before scar tissue nasal reconstruction with rib cartilage – right side, oblique 45-degree, and nostril view of male patient — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Rib Cartilage Nasal Reconstruction Strategy

Framework Reconstruction: Removed silicone implant; harvested rib cartilage to rebuild structure; reinforced weakened bone and cartilage.
Septal Realignment: Corrected deviation, improved airflow, balanced nostril symmetry.
Nasolabial Refinement: Adjusted angle for a softer, more proportional facial silhouette.
Scar Tissue Management: Removed fibrotic tissue, restored blood supply and tissue flexibility, minimized risk of contracture.

Outcomes of Scar Tissue Nasal Reconstruction

Before and after scar tissue nasal reconstruction with rib cartilage – frontal view comparison of male patient ( — Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Transformation

Refined dorsal bridge visible from the front
Smooth nasal curve on profile view
Nostril symmetry restored for overall harmony

Before and after scar tissue nasal reconstruction with rib cartilage – side view of male patient — Before Surgery (Left) / Immediately After Surgery (Right)

Functional Restoration

Significantly improved breathing
Balanced nostril alignment

Before and after scar tissue nasal reconstruction with rib cartilage – oblique 45-degree view of male patient — Before Surgery (Left) / Immediately After Surgery (Right)

Structural Stability

Rib cartilage provided durable, natural support
Eliminated implant-related complications

Before and after scar tissue nasal reconstruction with rib cartilage – nostril view of male patient — Before Surgery (Left) / Immediately After Surgery (Right)

Expert Insights on Revision and Autologous Cartilage

Immediately after scar tissue nasal reconstruction with rib cartilage – frontal, side, and oblique 45-degree views of male patient. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Before and after scar tissue nasal reconstruction with rib cartilage – nostril view of male patient. Shows correction of nostril asymmetry and reinforced columella support. — Immediately after surgery: Nostril view photos.

Rib cartilage reliability: Strong, stable, ideal for complex reconstructions
Scar tissue challenges: Revision cases demand meticulous technique due to altered anatomy
Autologous benefits: Natural tissue reduces risks of infection, warping, or resorption

Final Thoughts

This case demonstrates that even in severe trauma with multiple failed revisions, scar tissue nasal reconstruction with rib cartilage can restore both structure and function. With careful planning and surgical precision, patients can achieve lasting symmetry, stability, and improved quality of life.

— Dr. Cha-Young Kang, NoseLab Clinic

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

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