Pinched Nose Revision Surgery: How Should It Be Performed?
Hello, this is Hyundai Aesthetic Surgery. Recently, as the weather has become colder and roads have iced over after rain, this is a time when accidents caused by slipping are a concern. We hope everyone takes care to stay safe. You may have made plans for the new year, but an unexpected injury can be upsetting. Today, we will discuss pinched nose revision surgery, a procedure that requires particular caution among cosmetic surgeries. Many people consider and decide on cosmetic surgery to improve their appearance. Rhinoplasty, in particular, is an important area because the nose is at the center of the face, and even a small change can create a significant difference. However, without sufficient consultation before surgery, unexpected results may occur afterward.
The case we will cover today is pinched nose revision surgery. A pinched nose refers to a problem that occurs when the cartilage of the nasal tip or alar area is tied irregularly during surgery, or when an implant is inserted improperly. This can appear as a sharply pointed nasal tip or a sunken shape, giving the nose an artificial and sharp impression. In such cases, it is important to resolve the issue by sufficiently stretching the skin. The key is to even out the depressed areas through dissection and improve excessively tied cartilage or unstable fixation, aiming for a natural and softer nasal shape. To address the problem of a pinched nose through revision surgery, it is important to plan the correction at an appropriate time so that the condition does not worsen.
Looking at the patient’s progress after revision surgery, the nasal tip became rounder and changed to a softer look compared with before. Previously, the cartilage was slightly visible, creating a sharp and pointed appearance, but after correction, the sharp look was reduced. This change suggests that excessive fixation of the nasal tip cartilage was the issue. In many cases, the problem is cartilage that was tied too tightly during the first surgery, and an implant that does not fit the nasal structure may also be a cause. In such cases, proper material selection and a careful surgical plan are necessary.
Looking at this patient’s progress after pinched nose revision surgery, the nasal tip became rounder and the position of the nostrils moved lower. This once again emphasizes that during the first surgery, it is important to set an appropriate height rather than excessively increasing the height of the nose, while considering overall balance. Because an overly high nose can disrupt facial harmony, the height should be set to suit each person’s face.
Therefore, if you are considering pinched nose revision surgery, the most important first step is to accurately identify what problems occurred during the initial surgery. Improvement can be planned by releasing cartilage that has been tied too tightly, or by reinforcing unstable fixation when needed. In addition, careful consideration should be given to the choice of implant material, and using autologous tissue may also be a good alternative.
For this patient, surgery was performed with the aim of naturally correcting the previous sharp and artificial appearance. In this way, even when the first surgery has not gone well, revision surgery can be planned once the cause has been found through careful consultation. The case above reflects one patient’s progress, and results vary from person to person. Before deciding on revision surgery, we recommend having a thorough consultation and choosing the surgical method that is right for you. Even if the first surgery did not go well, please remember that improvement is possible through revision surgery, and choose change with confidence. At Hyundai Aesthetic Surgery, we will always work to help our patients be satisfied with their results. Thank you.

