[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share the story of a patient who came to us with concerns about nostril stenosis and nasal obstruction following multiple surgeries. This case demonstrates the importance of addressing both structural and functional challenges in revision rhinoplasty.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
1. Surgical History and Symptoms
January 2023: Silicone implant + septal cartilage + ear cartilage graft. (Left nostril began to narrow after 2–3 months.)
July 2023: Left nostril expansion surgery + silicone + donated rib cartilage. (Left alar collapse occurred one month later.)
Current symptoms: Left nostril obstruction when lying on the right side.
2. Patient Goals
Correct pinched appearance of the nose.
Improve nasolabial angle.
Address upturned nasal tip.
Resolve left-side nasal obstruction.
Restore symmetry and address columellar depression.
Achieve a harmonious straight nasal line that suits the face.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
3. Problem Analysis
The left nasal cavity showed significant stenosis caused by:
Excessive alar cartilage damage during previous surgeries.
Improper suturing techniques, leading to both internal and external nasal valve collapse.
4. Surgical Approach
Before (Left) / Immediately After (Right)
a. Structural Reconstruction
Skin grafts were used to compensate for insufficient tissue.
Complete alar cartilage reconstruction.
Maximized nasal cavity space to improve airflow.
Before (Left) / Immediately After (Right)
b. Prioritizing Stability
Autologous rib cartilage was used to prevent inflammation.
Avoided silicone implants, opting instead for all-natural autologous materials.
Ensured all grafts were biocompatible to minimize risks of future complications.
Before (Left) / Immediately After (Right)
Before (Left) / Immediately After (Right)
5. Specialist Insights
Nostril stenosis presents unique challenges, especially in cases with a history of inflammation or collapse. The key considerations in this case were:
Preventing Inflammation: Inflammation exacerbates stenosis, making meticulous surgical techniques essential.
Comprehensive Reconstruction: Restoring both the internal and external nasal valves was critical for functional and aesthetic improvement.
Using Autologous Materials: This approach minimized the risk of complications and ensured long-term stability.
While the surgery successfully addressed the structural and functional challenges, the final outcome will depend on the healing process over time.
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
Immediately After Surgery: Nostril View Photos
Closing Thoughts
This case highlights the importance of precision, expertise, and patient-centered care in revision rhinoplasty. At Nose Lab Clinic, we remain committed to providing safe, tailored solutions for complex cases like these.
Thank you for reading. If you are experiencing similar concerns, don’t hesitate to reach out to us for a consultation.
Best regards,
Dr. Cha-Young Kang
Director, Nose Lab Clinic
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