2026-05-24
High-Difficulty Deviated Nose & Nostril Asymmetry Correction at VIBE Plastic Surgery!
A case study of a 20s female patient undergoing revision rhinoplasty to correct a deviated tip, excessive height, and nostril asymmetry using rib cartilage and alar rim grafts.
* Basic Information
# Female in her 20s
# Medical History: Two previous rhinoplasty procedures (using autologous rib cartilage and ear cartilage without implants)
# Current Status: The tip of the nose is severely deviated, and the nose is too sharp and long.
* Consultation
# During her second surgery, autologous rib cartilage was used, but her main concerns were a severely deviated tip and a nose that was excessively high and sharp.
# While autologous rib cartilage is an excellent material, it can undergo ‘warping.’ We needed to determine during surgery whether the deviation was due to actual warping or improper fixation.
# Because the tip was too sharp and high, it gave her a harsh impression. We planned to correct this to create a rounder, more natural look.
* Surgical Plan
# Bridge Rhinoplasty
- No-implant (natural)
# Tip Rhinoplasty
- Deviated nose correction
- Correction of the excessively high and sharp tip
- Alar rim graft (nostril lowering)
- Non-incisional alar reduction and alar wing Botox
- Recycling of existing autologous rib cartilage and additional use of donated rib cartilage if necessary
* Post-operative Progress
1. During the surgery, it was discovered that rather than simple warping, the septal support itself had become very thin and damaged. Since the support was weak, the autologous rib cartilage fixed to it inevitably deviated. We recycled the existing autologous rib cartilage and used new donated rib cartilage to reconstruct the septal pillar.
2. We confirmed that the tip had become sharp due to excessive cartilage stacking. We lowered the height slightly and used dermis to create a softer, rounder tip.
3. To address the remaining ‘pinched’ appearance of the nostrils, we performed an ‘alar rim graft.’ By grafting skin and ear cartilage together, we corrected the nostril asymmetry and reduced the visibility of the nostrils.
4. Additionally, through non-incisional alar reduction and Botox, we reduced the flaring of the nostrils when making facial expressions or laughing.
5. Deviated nose surgery is a high-difficulty procedure, but patient satisfaction is generally high. This is because it resolves the crooked line seen from the front and straightens the central axis.
6. Ultimately, with the deviation and the excessively high tip corrected, her impression became much softer, and she was very satisfied with the results.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE comes from rich experience.
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, so caution is advised.
Frequently Asked Questions
Can my nose become crooked after using autologous costal cartilage?
Yes, autologous costal cartilage is a good material, but it can become crooked due to 'warping'. In this case, the cartilage was found to be warped due to damage to the septal column.
How can a sharp and high nasal tip be corrected?
Yes, a sharp and high nasal tip can be corrected to a rounder, more natural look by lowering the cartilage and using dermis, etc. This method was used for improvement in this case.
How can nostril asymmetry be corrected?
Yes, nostril asymmetry can be corrected through a 'nostril lowering' procedure. Skin and ear cartilage are grafted together to make the nostrils less visible and resolve the asymmetry.
What cartilage is used for revision rhinoplasty?
For revision rhinoplasty, existing autologous costal cartilage can be reused, or donor costal cartilage can be additionally used if necessary. It can be utilized for septal column reconstruction.
Is crooked nose correction surgery difficult?
Yes, crooked nose correction surgery is considered difficult. However, it is a highly satisfying surgery because the crooked line visible from the front is resolved and the central axis is straightened after the operation.