Why long-standing contracted noses and crooked noses occur together, and how reconstruction is performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient with a surgical history spanning more than 20 years who achieved natural improvement for a contracted nose.

• 22 years ago: L-shaped silicone implant surgery

• 21 years ago: L-shaped silicone implant + ear cartilage surgery

• 10 years ago: Ear cartilage + autologous rib cartilage + silicone implant + nostril lengthening surgery

Removed silicone implant

1. Front view

• Deviated nose

• Nostril asymmetry

• Pinched nostril shape

2. Profile view

• High radix

• Nose appearing long

• Irregular nasal bridge

• Nasal tip indentation

• Protruding mouth findings

3. Nostrils

• Nostril asymmetry

• Columella deviated to the right

• Extensive scar tissue inside the nostrils (skin tissue grafted during previous nostril lengthening)

4. Function

• Nasal obstruction, right > left

• Worsening symptoms during sleep

• Crusting and scabs due to dry nasal passages in winter

• Nose style like Hanni from NewJeans

• Natural result

• Correction of deviated nose

• Improvement of the perceived contracted nose

1. Structural improvement

• Correction of the deviated nasal tip using autologous rib cartilage

• Reconstruction of both alae by reusing existing ear cartilage

• Improvement of the pinched nose shape

2. Tissue reinforcement

• Reinforcement of thinned areas with a dermal graft

• Smoothing of the uneven nasal bridge

• Improvement of the nasal tip indentation

3. Functional improvement

• Septoplasty

• Radiofrequency submucosal resection of the inferior turbinates

• Improvement of nasal obstruction

1. Front view

• Improved crooked nose

• Well-balanced nostrils

• Natural width

• Naturally widened nasal bridge width

2. Profile view

• Smoothed nasal bridge line

• Improved nasal tip indentation

• Natural radix position

• Improvement of protruding mouth through nasolabial angle correction

3. Nostrils

• Improved nostril asymmetry

• Straightened columella

• Removal of skin tissue grafted during previous nostril lengthening surgery

This is a case where the patient visited to address a contracted nose, resolving complex issues stemming from nasal surgeries that began 22 years ago. Although there was significant internal scar tissue and deformity from repeated surgeries, natural improvement was achieved through nasal tip reconstruction with autologous rib cartilage, reuse of existing ear cartilage, and dermal grafting.

In particular, a natural nasal profile was created as the patient desired, while the crooked nose and nostril asymmetry were also improved. In addition, functional surgery significantly alleviated the nasal obstruction symptoms, improving breathing function.

This was Dr. Peter C. Kang. Thank you.

Thank you.

#closedrhinoplasty #revisionrhinoplasty #contractednosecorrection #crookednosecorrection #customrhinoplasty