Upturned Nose Correction with Donor Rib Cartilage – Case of Wide Nasal Bridge & Multiple Revisions

[Nose Lab Clinic]

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

Today, I’d like to introduce a complex case of Upturned Nose Correction using donor rib cartilage in a patient who had previously undergone multiple revision rhinoplasties. The patient presented with a wide nasal bridge and excessive tip rotation due to prior surgeries and thread lifting.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

1. Surgical History – Multiple Revisions Before Upturned Nose Correction

✔ 10 years ago: Auricular cartilage + silicone implant

✔ 2 months later: Implant removal due to foreign body reaction

✔ 5 years ago: Silicone + septal cartilage graft

✔ 3 years ago: Silicone + donor rib cartilage graft

✔ Thread lifting: led to foreign body reaction

✔ 6 months ago: Complete removal + autologous rib cartilage reconstruction

2. Initial Evaluation – Function & Aesthetics

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Functional Concerns

• Right-sided nasal obstruction

• Collapsed nasal septum

Aesthetic Concerns

• Broad, wide nasal bridge

• Over-rotated, upturned nasal tip

• CT scan showed excessively elevated nasal dorsum

3. atient’s Goals for Upturned Nose Correction

✔ Reduce the broad nasal bridge

✔ Correct the upturned tip

✔ Avoid synthetic implants

✔ Use donor rib cartilage over harvesting own rib

4. Surgical Plan for Functional & Aesthetic Upturned Nose Correction

Step 1 – Pre-Surgical CT Analysis & Material Removal

• CT scan to detect residual foreign bodies

• Removal of threads, filler, and remaining synthetic materials

Photos of Removed Foreign Materials

Step 2 – Wide Nasal Bridge Refinement

• Osteotomy to narrow the bridge

• Sculpting of nasal dorsum

• Donor rib cartilage for refined, smooth contour

Step 3 – Upturned Nose Correction

• Adjust tip rotation to a natural position

• Preserve autologous rib cartilage

• Additional donor rib cartilage grafts for tip and support

• Septal reconstruction for long-term stability

5. Results After Upturned Nose Correction

Before (Left) / Immediately After (Right)

Frontal View

• Slimmer, more refined nasal bridge

• Improved symmetry and proportions

Before (Left) / Immediately After (Right)

Side Profile

• Tip no longer upturned

• Harmonized dorsal height

• Balanced and natural tip projection

Before (Left) / Immediately After (Right)

Functional Improvement

• Relieved nasal blockage

• Stabilized septal support

• No adverse reaction due to absence of synthetic implants

Before (Left) / Immediately After (Right)

6. Expert Insight – Key Challenges & Solutions

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This was a high-difficulty case due to multiple surgeries, severe implant-related complications, and significant asymmetry.

The success of the Upturned Nose Correction was achieved through:

✔ Use of only donor rib cartilage

✔ Wide bridge refinement via osteotomy

✔ Long-term structure reinforcement without synthetic material

This is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

All procedures at Nose Lab are performed using the closed (non-open) rhinoplasty technique.

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