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Upturned Nose Correction: Structural Stability Recovery After Multiple Surgeries

  • noselab
  • 2024년 12월 13일
  • 2분 분량

최종 수정일: 8월 20일

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


Today, I’d like to share a case involving Upturned Nose Correction with severe structural compromise following multiple previous surgeries.


1. Surgical History and Patient Goals in Upturned Nose Correction

Surgical History:

  • 23 years ago: Auricular cartilage graft

  • 13 years ago: Silicone implant

  • 10 years ago: Septal cartilage + Auricular cartilage + Silicone implant


Patient Goals:

Upturned nose correction – design consultation photos (frontal, left oblique, side view) showing pre-surgery analysis at Nose Lab Clinic
Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

  • Reduce visible nostril exposure

  • Shorten the apparent philtrum length

  • Correct the upturned nasal tip

Upturned nose correction – design consultation photos (right side, oblique side, and nostril view) before surgery at Nose Lab Clinic
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

2. Preoperative Analysis for Upturned Nose Correction

Frontal View:

  • Excessive nostril show

  • Nostril asymmetry

  • Crooked nasal bridge

  • Wide nasal dorsum

Side View:

  • Upturned nasal tip

  • High nasal starting point

  • Protruding mouth appearance

Oblique View:

  • Depressed columella

  • High nasal starting point

Nostril View:

  • Severe asymmetry


3. Intraoperative Findings and Surgical Plan in Upturned Nose Correction

a. Identified Structural Problems

  • Excessive harvest of septal cartilage, resulting in collapse

  • Residual septum deviated to the right

  • Severely damaged alar cartilage

b. Reconstruction Strategy

  • Septal Reconstruction with rib cartilage – repositioned to the midline

  • Alar Cartilage Reconstruction using salvaged auricular cartilage

  • Septal Extension with rib cartilage to lower and stabilize the nasal tip


4. Surgical Outcomes of Upturned Nose Correction

Upturned nose correction case – frontal view before surgery (left) and immediately after surgery (right) at Nose Lab Clinic
Before (Left) / Immediately After (Right)

a. Structural Improvements:

  • Septum successfully reconstructed at the midline

  • Alar cartilages effectively rebuilt

  • Rib cartilage provided strong extension and stability

Upturned nose correction case – side view before surgery (left) and immediately after surgery (right) at Nose Lab Clinic
Before (Left) / Immediately After (Right)
Upturned nose correction case – oblique side view before surgery (left) and immediately after surgery (right) at Nose Lab Clinic
Before (Left) / Immediately After (Right)

b. Aesthetic Enhancements:

  • Reduced nostril exposure

  • Improved nasal tip position and symmetry

  • Shortened philtrum appearance

  • Lowered nasal starting point for balanced contour

Upturned nose correction case – nostril view before surgery (left) and immediately after surgery (right) showing improved symmetry at Nose Lab Clinic
Before (Left) / Immediately After (Right)

5. Specialist Insight on Upturned Nose Correction

This Upturned Nose Correction case highlights the difficulty of reconstructing a nose with severe internal damage from multiple surgeries.By combining rib cartilage and auricular cartilage, we achieved both structural stability and natural aesthetic outcomes.

Proper reinforcement is critical in revision rhinoplasty to ensure long-lasting and functional results.

Immediately after upturned nose correction – frontal, side, and oblique side views showing improved nasal tip projection and nostril symmetry at Nose Lab Clinic"
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately after upturned nose correction – nostril view photo showing improved nostril symmetry and columella adjustment at Nose Lab Clinic
Immediately After Surgery: Nostril View Photos

6. Closing Remarks on Upturned Nose Correction

At Nose Lab Clinic, we strive to achieve the best outcomes, even for the most complex revision rhinoplasty cases.


For patients struggling with upturned nose deformities, this case demonstrates that structural and aesthetic recovery is possible.


👉 All surgeries at Nose Lab Clinic are performed using a closed (endonasal) approach.

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

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