Upturned Nose Correction After 13 Years – Medpor Removal and Septal Reconstruction with Autologous Dermis

Patient Background and Surgical History of Upturned Nose Correction

This upturned nose correction case involved a patient who had undergone rhinoplasty 13 years ago using ear cartilage and a silicone implant.

Over time, her nasal tip became excessively rotated, resulting in nostril exposure and asymmetry.

Though there were no major functional issues, the aesthetic imbalance led to persistent dissatisfaction.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Patient Goals for Upturned Nose Correction

The patient’s goals were clear and realistic:

• Reduce visible nostril exposure

• Correct the overly upturned nasal tip

• Achieve nasal symmetry

• Create a natural and stable nose shape

She hoped for a natural improvement that would blend harmoniously with her facial features.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Intraoperative Findings During Upturned Nose Correction

During the upturned nose correction, a Medpor implant used for septal extension 13 years ago was found.

It had become heavily adhered to the surrounding tissue, requiring careful dissection to ensure safe removal.

This was the most technically challenging part of the operation.

Intraoperative photo of Medpor removal.

Surgical Procedures for Upturned Nose Correction

1. Safe Removal of Medpor Implant

The long-standing Medpor implant was precisely removed while preserving mucosal integrity.

All fibrotic tissue was excised to create a stable foundation for reconstruction and upturned nose correction.

2. Septal Reconstruction Using Autologous Dermis

The septal framework was rebuilt using the patient’s own dermal tissue.

This biocompatible material restored tip support and ensured long-term stability with a natural contour.

3. Nasolabial Angle and Tip Refinement

The excessively rotated nasal tip was lowered, and the nasolabial angle was refined.

This upturned nose correction resulted in a soft, elegant nasal line and significantly reduced nostril exposure.

4. Functional Rhinoplasty

Performed septoplasty and inferior turbinate reduction to relieve nasal obstruction and improve breathing comfort.

5. Nostril Asymmetry Correction

Realigned the nasal tip and columella to restore balanced nostril shape and symmetry.

Postoperative Results After Upturned Nose Correction

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

Successful Aesthetic Correction

• Nasal tip naturally lowered and refined

• Nostril exposure significantly reduced

• Smooth and balanced nasal contour

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

Symmetry and Natural Texture

• Nostrils now appear nearly symmetrical

• Natural skin tone and texture achieved with autologous dermis

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

Functional Improvement

• Breathing noticeably improved

• Relief from nasal obstruction and rhinitis symptoms

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

Specialist’s Insight on Upturned Nose Correction

The success of this upturned nose correction relied on two key steps — safe Medpor removal and stable septal reconstruction using autologous dermis.

Over time, Medpor can adhere strongly to nasal tissue and cause chronic inflammation, making precise surgical handling essential.

By rebuilding the septum with the patient’s own dermal tissue, we achieved both long-term safety and a naturally soft aesthetic.

Upturned nose correction requires more than lowering the tip; it demands solid internal support and balanced structural design.

At NoseLab Clinic, we specialize in complex revision and upturned nose correction, focusing on safe, durable, and natural results through closed rhinoplasty techniques.

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