2026-05-24
Short Nose and Upturned Nose Revision Surgery: Immediate Post-Op Video!
A case study of a 50-year-old female patient undergoing revision surgery for a short, upturned nose caused by capsular contracture, utilizing rib cartilage and nostril lowering.
* Female patient in her 50s
* Primary Complaints (Reason for surgery): I had nose surgery using ear cartilage, but contracture occurred, making my nose significantly shorter. My nostrils are also severely asymmetrical.
* Desired Outcome: I want to correct the upturned (short) nose and achieve a natural yet sharp nasal tip.
* Surgical Plan
1. The nose became short due to contracture following a previous surgery with ear cartilage and implants -> Planned for length extension by sufficiently dissecting the skin.
2. Pre-operative CT scans showed a small and severely deviated septum, so the use of rib cartilage was decided.
3. Planned for nostril lowering (alar rim graft) to correct the asymmetry of the nostrils.
* Surgical Impressions
1. Contracted nose revision is a highly difficult procedure.
2. Used rib cartilage to sufficiently extend the length and make the nostrils less visible.
3. Corrected nostril asymmetry through the nostril lowering technique.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The ‘VIBE’ that comes from rich experience.
Dr. Young-moon Yoo, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with the Medical Service Act. 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 after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is revision rhinoplasty for contracture nose necessary?
The patient in the post had a contracture after ear cartilage rhinoplasty, resulting in a shortened nose and severe nostril asymmetry. In such cases, when there are problems with the length, shape, or symmetry of the nose due to side effects from a previous surgery, revision surgery can be considered.
What cartilage is mainly used for revision surgery for a short nose?
In the case presented in the post, the patient's septum was small and very deviated, so costal cartilage was used. Costal cartilage can be effectively used when significant length extension is needed or when septal cartilage is insufficient.
Can nostril asymmetry also be corrected with revision rhinoplasty?
Yes, it can be corrected. In the case presented in the post, nostril lowering was planned together to correct nostril asymmetry and was successfully corrected. Nostril lowering is a surgical method that adjusts the shape and size of the nostrils.
Is revision rhinoplasty for contracture nose a difficult surgery?
Yes, contracture nose surgery is known to be a very difficult surgery. It requires high-level skills and experience, such as dealing with tissues deformed by previous surgery and sufficiently dissecting the skin for length extension.
Are there any complications or side effects after revision rhinoplasty?
No, they can occur. The post states that complications and side effects such as bleeding, inflammation, infection, and asymmetry can vary depending on the individual and require caution.
Who should I consult for revision rhinoplasty?
It is recommended to consult and undergo surgery with a plastic surgeon. The post recommends consulting a plastic surgeon with extensive experience, emphasizing the importance of accurate diagnosis and planning tailored to the individual's condition.