This revision case concerns an upturned tip and excessive nostril exposure after previous nasal surgery, fillers and threads. The plan included removal of previous materials, reconstruction with the patient’s own rib cartilage and correction of the nasal tip and bridge-start contour.
Case at a glance
- Previous treatment
- Surgical plan
- 2. Partial Septal Reconstruction with Autologous Rib Cartilage Used the patient’s own rib cartilage to rebuild the septum for long-term structural stability.
- 3. Nasal Tip and Columella Elevation The nasal tip and columella were elevated to achieve a smooth, three-dimensional contour while correcting nostril exposure.
- 4. Nasolabial Angle Refinement The upturned nose was corrected to create a natural downward angle and the visual effect of a shorter midface.
- Graft & material details
- Photo timing
These details are excerpts from the original article and captions. Follow a detail to read it in context.
— NoseLab Plastic Surgery
Hello, this is Dr. Cha-Young Kang, Chief Director at NoseLab Plastic Surgery in Seoul.
Today, I’d like to introduce a complex upturned nose correction case that combined revision rhinoplasty and Carina-style design, creating a soft, elegant, and natural result.
Patient History and Concerns before Upturned Nose Correction
The patient had undergone several past nose surgeries and non-surgical procedures, including fillers, threads, and silicone implants.
Because of repeated filler treatments, the glabella appeared widened, and the tip became overly upturned, exposing the nostrils.
She wished to:
Achieve a Carina-style refined nose line
Correct the upturned nasal tip
Reduce nostril exposure and shorten the midface
Create a feminine and balanced silhouette
Surgical Plan – Carina-Style Feminine Rhinoplasty Using Rib Cartilage
1. Removal of Foreign Materials
All previous silicone and dermal grafts were removed, and distorted soft tissues were refined.
2. Partial Septal Reconstruction with Autologous Rib Cartilage
Used the patient’s own rib cartilage to rebuild the septum for long-term structural stability.
3. Nasal Tip and Columella Elevation
The nasal tip and columella were elevated to achieve a smooth, three-dimensional contour while correcting nostril exposure.
4. Nasolabial Angle Refinement
The upturned nose was corrected to create a natural downward angle and the visual effect of a shorter midface.
5. Glabellar Line Smoothing Removed filler-related irregularities, restoring a clean and natural bridge start.
Surgical Results – Balanced and Elegant Nose Line
Frontal View:
Glabellar width refined and nostril exposure minimized
Nasal tip elevated for a graceful appearance
Achieved a slimmer, more balanced frontal shape
Lateral View:
Upturned nose fully corrected
Ideal nasolabial angle designed for a feminine side profile
Natural curvature from forehead to nasal tip
Overall Impression:
The final result achieved a Carina-style feminine line — elegant, natural, and balanced.
Facial harmony and expressiveness were significantly improved.
Expert Insights on Upturned Nose Revision
Patients with upturned nose deformity after multiple surgeries often have scarred tissue and weakened support structures.
In such cases, using autologous rib cartilage ensures long-term stability and prevents secondary deformation.
The Carina-style nose emphasizes refined tip rotation, balanced proportions, and a naturally lifted silhouette — not simply height.
By reconstructing the septum and adjusting the nasolabial angle, we achieved both aesthetic harmony and structural integrity.
At NoseLab Plastic Surgery, we specialize in closed revision rhinoplasty, addressing even the most complex cases safely and precisely to deliver natural, lasting results.
Thank you for reading. — Dr. Cha-Young Kang, NoseLab Plastic Surgery
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