Case Study: Severe Contracted Nose Revision with Autologous Rib Cartilage – Nose Lab Clinic

noselab
2024년 11월 15일
2분 분량

최종 수정일: 8월 27일

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

Today, I’ll discuss a complex case of severe contracted nose revision resulting from multiple previous rhinoplasties. This case illustrates the importance of meticulous planning and the use of autologous rib cartilage for successful reconstructive outcomes.

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

1. Patient Information and Symptoms in Severe Contracted Nose Revision

Surgical History:

1st Surgery: Silicone implant + Ear cartilage graft + Nostril reduction
2nd Surgery: Autologous rib cartilage revision
3rd Surgery: Additional A/S procedure

Primary Symptoms:

Upturned, visible nostrils
Excessively elevated nasal tip
Scar tissue accumulation
Breathing difficulties due to obstruction

2. Pre-Surgical Analysis

Preoperative design consultation photos of a severe contracted nose: right side view, oblique side view, and nostril view before revision rhinoplasty. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Front View: Overly elevated nasal tip with nostril asymmetry

Side View: Sharp, upturned nasal tip creating a shortened, unnatural appearance

Nostril View: Columella deviated to the left with visible scarring

Functional Issues: Deviated septum and external nasal valve collapse

3. Surgical Plan for Severe Contracted Nose Revision

We aimed to restore both function and aesthetics through structural reconstruction.

Primary Procedures:

Septal Reconstruction with Autologous Rib Cartilage: Strengthened the septum to support and reposition the tip for a natural orientation.
Granulation Tissue Removal: Eliminated inflamed tissue to reduce contracture risk.
Nostril Lowering and Symmetry: Balanced nostril appearance by lowering the base.
Columella Adjustment: Softened projection for a natural look.
Alar Cartilage Reconstruction: Rebuilt and repositioned for symmetry.
External Nasal Valve Reconstruction: Widened the airway to improve breathing.

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

Before (left) and immediately after (right) surgery photos of severe contracted nose revision using autologous rib cartilage, highlighting nasal tip and columella correction. — Before Surgery (Left) / Immediately After Surgery (Right)

Before (left) and immediately after (right) photos of severe contracted nose revision with autologous rib cartilage, showing improvement in nasal tip and columella structure. — Before Surgery (Left) / Immediately After Surgery (Right)

Before (left) and immediately after (right) photos of severe contracted nose revision with autologous rib cartilage, focusing on nostril asymmetry correction and columella reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

4. Post-Surgery Outcome

Nasal Tip and Nostril Positioning: Natural tip orientation with improved nasolabial angle.
Nostril Shape: Corrected asymmetry and rounded the nostril rims.
Structural Reinforcement: Restored breathing by widening the nasal valve area.

Immediately after surgery photos of severe contracted nose revision with autologous rib cartilage: frontal, side, and oblique views showing improved nasal tip position and nostril symmetry. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after surgery nostril view photo of severe contracted nose revision with autologous rib cartilage, showing corrected nostril symmetry and structural reconstruction. — Immediately after surgery: Nostril view photos.

Conclusion

This severe contracted nose revision case highlights the need for a staged and systematic approach. At Nose Lab Clinic, we combine extensive experience with advanced methods like autologous rib cartilage reconstruction to achieve safe and lasting outcomes.

For patients considering revision rhinoplasty, consulting an experienced surgeon is essential.

Thank you for reading.

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

👉 Nose Lab performs all procedures using a closed rhinoplasty approach.