Upturned Nose Revision – Complex Nasal Reconstruction After Multiple Surgeries

noselab
3월 20일
2분 분량

최종 수정일: 9월 26일

[Nose Lab Clinic]

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

This case presents a patient with a history of multiple rhinoplasties who suffered from an upturned nose, columella retraction, asymmetry, and chronic rhinitis. A highly individualized surgical plan was necessary to resolve both functional and aesthetic issues.

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

Case Summary – Upturned Nose Revision

Patient’s Surgical History

12 years ago: Ear cartilage + silicone rhinoplasty
Same year: Columella retraction repair
3 years ago: Upturned nose revision + ear cartilage, alloderm, alar base
Last 2 years: Suture dehiscence, infections, hyperbaric oxygen therapy

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

Main Complaints

Left nasal blockage, nasal discharge
Upturned nasal tip
Columella retraction
Pinched nasal tip
Nostril asymmetry

Endoscopic view of the nasal cavity showing inflamed mucosa and anatomical abnormalities before functional nasal surgery. — Nasal Endoscopy Photos

Surgical Plan & Techniques

Functional Correction

Septoplasty
High-frequency laser turbinate reduction
Internal nasal airway reinforcement

Structural Repair

Tip rotation correction
Columella lengthening (septal + alar cartilage)
Evaluation/removal of previous grafts

Aesthetic Refinement

Define nasal tip
Restore symmetry
Create natural profile

Surgical Results After Upturned Nose Revision

Frontal View

Enhanced symmetry
Natural nasal tip definition
Correction of pinched appearance

Before (Left) / Immediately After (Right)

Side Profile

Nasal tip position stabilized
Augmented columella
Natural nasolabial angle

Oblique side view of a patient before (left) and immediately after (right) nasal reconstruction surgery, highlighting improved columella projection and softened nasal tip rotation. — Before (Left) / Immediately After (Right)

Functional Outcomes

Improved airflow
Reduced rhinitis symptoms
Stable long-term breathing

Nostril base view before (left) and immediately after (right) nasal reconstruction surgery, showing improved symmetry and columella projection. — Before (Left) / Immediately After (Right)

Expert Insight on Upturned Nose Revision

Postoperative frontal, side, and oblique views immediately after nasal reconstruction surgery, showing improved nasal tip rotation, symmetry, and skin integrity. — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Nostril view immediately after surgery showing internal sutures, corrected columella projection, and improved nostril symmetry. — Immediately After Surgery: Nostril View Photos

This case shows how repeat surgeries and tissue damage can complicate revision rhinoplasty. With a meticulous plan and conservative correction, we achieved both functional restoration and natural appearance.

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

Nose Lab performs all surgeries using a non-open (closed) rhinoplasty approach.