Severe Contracted Nose Reconstruction: A High-Complexity Rhinoplasty Case Study

noselab
2024년 11월 12일
2분 분량

최종 수정일: 8월 27일

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

Today, I’m sharing a highly challenging case of severe contracted nose reconstruction that involved overcoming multiple complications to achieve a successful outcome. This case underscores the importance of meticulous planning and advanced techniques in complex nasal reconstructive surgery.

Preoperative design consultation photos for severe contracted nose reconstruction: frontal view, left oblique side view, and left side view. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

1. Patient Condition in Severe Contracted Nose Reconstruction

Initial complications: Hematoma after facelift caused graft necrosis.
Structural issues: Severe columella retraction, short and upturned nasal tip, deviation, and contraction.
Mucosal compromise: Left septum thinned and contracted after necrosis.

Preoperative views for severe contracted nose reconstruction: right oblique view, left oblique view, and basal nostril view showing columella retraction and asymmetry. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

2. Surgical Plan for Severe Contracted Nose Reconstruction

Our plan included:

Stem cell injection therapy – for healing and repair.
Septal reconstruction with autologous rib cartilage – structural reinforcement.
Nasal bridge correction with autologous cartilage – replacing silicone implant.
Rotational flap graft of inferior turbinate mucosa – mucosal reinforcement.

3. Pre-Surgical Assessment of Severe Contracted Nose Reconstruction

We noted:

Severe columella retraction and nostril asymmetry.
Short, upturned nasal tip and leftward deviation.
High radix creating a harsh profile.

4. Surgical Outcomes in Severe Contracted Nose Reconstruction

The surgery was successfully completed with:

Corrected columella position.
Lowered nasal tip and bridge start point.
Improved symmetry of nostrils and columella.
Effective contracture release through cartilage grafting and mucosal flap.

Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after severe contracted nose reconstruction: basal nostril view showing improved columella position and corrected nostril asymmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after severe contracted nose reconstruction: frontal view showing corrected columella retraction and improved nostril symmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and immediately after severe contracted nose reconstruction: basal nostril close-up showing improved nasal airway and corrected columella deviation. — Before Surgery (Left) / Immediately After Surgery (Right)

Closing Remarks on Severe Contracted Nose Reconstruction

This was an exceptionally complex case, requiring careful planning and staged management. In some cases, a second-stage procedure may be needed for refinement after six months.

This case shows the effectiveness of combining stem cell therapy with autologous grafting in achieving both aesthetic and functional restoration, even under challenging conditions.

At Nose Lab Clinic, we are committed to personalized, expert care in every reconstructive case.

At Nose Lab, we perform all procedures via closed rhinoplasty.