When reviewing contracted nose cases, looking only at an upturned nasal tip or a shortened shape makes it easy to overlook the clinical course that followed previous surgeries. These records feature patients whose nasal tips deformed after experiencing inflammation, as well as patients in whom very little septal cartilage remained and columellar retraction and narrowed nostrils were observed together. Understanding how external structural changes were linked to internal damage is essential.
Here, we review cases where contracture was recorded as an actual finding or medical history. The source records describe releasing contracted tissue and reconstructing damaged cartilage, as well as evaluating the remaining lower lateral cartilage and septum to perform partial reconstruction and septal extension. By distinguishing prior inflammation, the current condition of the tissue, and the surgical objectives, you can compare how individual cases differ even within the same category of contracted noses.
View before-and-after cases ↓Comprehensive rhinoplasty guide
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Preoperative condition
Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.
Preoperative condition · Postoperative record
In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.
Preoperative condition
For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.
Preoperative condition · Postoperative record
A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.
Previous surgeries and procedures
We removed foreign materials from illegal injections in the nasal bridge, completely reconstructed the cartilage-depleted septum using autologous rib cartilage, and performed dermal grafting on the thinned skin.
Preoperative condition
In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.
Preoperative condition
This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.
Previous surgeries and procedures
This is a case where a chronic inflammatory mass that developed after repeated surgeries and obstructed the nostril was precisely resected, restoring breathing function and stabilizing the nasal tip structure.
Previous surgeries and procedures
A case of improving an upturned tip, crooked nose, and nostril asymmetry that developed after four prior nasal surgeries and filler injections, using foreign material removal, septal extension with autologous rib cartilage, and silicone implant supplementation.
Previous surgeries and procedures
A case correcting a pinched nose caused by Medpor discovered after three surgeries and cartilage defects, through foreign material removal and full reconstruction of the alar cartilages and septum using autologous rib cartilage.
Preoperative condition
A case correcting a contracted nose, crooked nose, and pinched nostrils that developed after repeated surgeries, using silicone implant and scar tissue removal, nasal tip reconstruction with autologous rib cartilage, alar reconstruction with ear cartilage, and dermal grafting.
Preoperative condition
To resolve contracture, septal perforation, and cartilage loss that occurred after Gore-Tex surgery performed long ago, the septum was reconstructed using autologous rib cartilage and the perforation was closed.
Preoperative condition · Postoperative record
A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.
Previous surgeries and procedures
A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.
Preoperative condition
A case of an upturned nose with septal damage and contracture deformity from repeated surgeries, where the septum and lower lateral cartilages were reconstructed using autologous rib cartilage along with columellar width correction.
Preoperative condition
For a contracted nose and septal damage following repeated surgeries and implant removal, we reconstructed the septum using autologous rib cartilage while correcting the upturned tip and rhinitis.
Preoperative condition
Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.
Preoperative condition
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In these cases, not only the direction of the nasal tip but also the remaining supporting structures were addressed. For one patient, after confirming damage to the lower lateral cartilage and septum, partial reconstruction and septal extension were performed using autologous rib cartilage. Another record explains that the focus was placed on removing contracted tissue and reconstructing cartilage. It is important to distinguish between the visual lowering of the nasal tip seen in photos and the underlying framework restored beforehand.
Look closely at whether inflammation is part of the medical history and what specific structural damage was identified during surgery. One case record suggests that severe septal damage and the progression of contracture following inflammation were related to columellar retraction and nostril stenosis. This represents Dr. Kang's assessment regarding that specific patient. It does not mean every upturned or short nose falls into the category of inflammatory contracture.
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