Upturned Nose Correction with Structural Enhancement: A Complex Revision Rhinoplasty Case

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1월 20일
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최종 수정일: 9월 26일

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

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

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)

Aesthetic Improvements

Reduced nostril visibility in frontal view
Natural elevation of nasal tip
Smooth and symmetrical dorsum contour
Balanced columella and nostril alignment

Before (Left) / Immediately After (Right)

Functional Outcomes

Better airflow due to structural correction
Improved skin and tissue support

Before (Left) / Immediately After (Right)

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)

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

Immediately after Upturned Nose Correction – nostril view showing improved symmetry and internal reconstruction details. — Immediately After Surgery: Nostril View Photos

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.