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Upturned Nose Correction for a More Elegant and Stable Nasal Shape

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


Today, I’m sharing the case of a patient who underwent multiple rhinoplasty procedures, resulting in structural deformation. This revision surgery aimed not only to correct existing issues but also to achieve a more elegant and harmonious nasal shape through precise upturned nose correction techniques.

Frontal, left side, and oblique side view before surgery for Upturned Nose Correction – design consultation photos.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
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1. Surgical History

Patient’s Background Before Upturned Nose Correction

  • Unknown: Initial surgery

  • 8 years ago: Revision surgery

  • September 2019: Revision causing bulbous tip & drooping tip

  • 2020: Donated rib cartilage + silicone implant

  • 2021: Ear cartilage graft

  • January 2024: Autologous rib cartilage + silicone implant

Right oblique, right side, and nostril view before surgery for Upturned Nose Correction – design consultation photos.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
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2. Patient’s Goals

Desired Outcomes of Upturned Nose Correction

  • Reduce excessive nostril visibility in frontal view

  • Elevate the nasal tip

  • Enhance the height of the nasal starting point (bridge near glabella)

  • Address volume deficiency on the left nasal dorsum

  • Achieve natural, subtle volume enhancement for refined results


3. Preoperative Analysis

Structural and Functional Issues Before Upturned Nose Correction

  • Weak nasal tip support from multiple prior surgeries

  • Significant nostril asymmetry

  • Volume deficiency on left nasal dorsum

  • Visible scars and skin elasticity loss in columellar and alar areas


4. Surgical Approach

Upturned Nose Correction Technique and Process


a. Structural Reconstruction 

  • Reused existing autologous rib cartilage

  • Added donated rib cartilage for stability

  • Strengthened nasal tip support with reinforced framework


b. Symmetry Improvement

  • Corrected alar asymmetry from prior nostril reduction

  • Balanced columellar height and tip projection

  • Filled depressed dorsum with cartilage and dermis


c. Functional Enhancement 

  • Performed bilateral nostril correction

  • Composite skin grafting for thinned or scarred skin

  • Columellar skin grafting for better structure and aesthetics


5. Surgical Results

Post-Upturned Nose Correction Results

Before and immediately after Upturned Nose Correction – frontal view showing reduced nostril exposure and refined nasal tip.
Before (Left) / Immediately After (Right)
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Aesthetic Improvements 

  • Reduced nostril visibility in frontal view

  • Natural elevation of nasal tip

  • Smooth and symmetrical dorsum contour

  • Balanced columella and nostril alignment

Before and immediately after Upturned Nose Correction – side profile view showing elevated nasal tip and improved nasal bridge contour.
Before (Left) / Immediately After (Right)
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Functional Outcomes

  • Better airflow due to structural correction

  • Improved skin and tissue support

Before and immediately after Upturned Nose Correction – oblique side view showing lowered nasal tip and balanced nose profile.
Before (Left) / Immediately After (Right)
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Overall Transformation

  • Elegant nasal line with added volume

  • Balanced proportions harmonizing with facial features

  • Long-lasting stability from autologous & donated grafts


Before and immediately after Upturned Nose Correction – nostril view showing reduced nostril exposure and improved symmetry.
Before (Left) / Immediately After (Right)
Original image ↗

6. Specialist’s Perspective

Expert View on Upturned Nose Correction in Complex Cases

Immediately after Upturned Nose Correction – frontal, oblique, and side view showing improved nasal tip projection and nostril balance.
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
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Immediately after Upturned Nose Correction – nostril view showing improved symmetry and internal reconstruction details.
Immediately After Surgery: Nostril View Photos
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This case required a delicate balance between stability and aesthetics due to the patient’s multiple surgical history. We combined autologous and donated materials to ensure both natural aesthetics and structural stability.


If you are considering rhinoplasty or revision surgery, Nose Lab Clinic offers personalized, expert care tailored to your needs.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.
Case photograph 9
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