service / Nose
We analyze a nose shortened and upturned by silicone-related contracture
and plan a contracted nose correction centered on autologous cartilage.
Why Lisoom
Correction of a contracted or upturned nose is one of the more technically demanding rhinoplasty procedures.
The term "upturned nose" does not always refer to the same nasal shape, and the solutions differ as well.
Contracture is a phenomenon in which the capsule (membrane) that forms around the silicone gradually shrinks over time, pulling the surrounding tissue with it so that the nose as a whole contracts.
Not everyone who has augmentation rhinoplasty with a silicone implant develops contracture, but the likelihood of contracture gradually increases as time passes.
The key to correcting a contracted or upturned nose lies in accurately identifying the type and restoring length and alar shape with autologous cartilage.
Contracted Nose Correction Before & After
DESIGN PRINCIPLE
The nose may have become shorter because of contracture after rhinoplasty or because of injury from a burn, traffic accident, or the like, or it may be congenitally short. An upturned nose often results from contracture after augmentation rhinoplasty with a silicone implant. As for the surgical method, surgery is performed to lengthen the nose using autologous cartilage.
The cause may be an acquired deformity or congenital, with congenital cases being more common. To lower the ala and cover the nostril, there are various surgical methods, including Alar expansion graft (AEG), Alar crural strut graft (ACSG), Alar rim graft (ACG), and Composite graft (CG), and the technique is chosen according to how far the alar rim has retracted upward.
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This is general medical information and does not replace an individual diagnosis or surgical plan. The tissue used, the extent of surgery, and the timing are decided after an examination, and there are possibilities of donor-site scarring, infection, asymmetry, contour irregularity, and revision surgery, as well as individual differences in recovery. The images are AI-generated illustrative artificial models and fictional people and do not represent actual human tissue, products, patients, or before-and-after surgical results. Sources checked: October 8, 2026.
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This is general medical information intended to help you understand spreader grafts and rhinoplasty. Whether to have surgery, the method, the extent, and the results depend on the structure of the nose, previous surgeries, and the condition of the skin and breathing, and this information does not replace an individual examination. Published papers and society guidance were consulted, and research findings do not guarantee an individual's surgical results. All images are AI-generated illustrative models and fictional people. Sources checked: September 30, 2026.
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This is general medical information and does not replace an individual diagnosis or surgical plan. Suitability for surgery, the extent of removal, whether reconstruction is needed, recovery, and results should be judged after an examination. The implant and capsule models and the people shown in this article are AI-generated illustrative images and do not represent actual products, tissue specimens, patients, or clinical results. Sources checked: September 21, 2026.
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Sources checked: September 11, 2026. A [number] in the text refers to its order in the reference list.
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This article explains why the skin and soft tissue are prepared first in revision surgery for a contracted nose. The reconstruction plan may vary depending on skin condition and blood flow.
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OUR PRINCIPLE
For the technically demanding contracted nose, precise correction by type is the key.
Precise Diagnosis by Type
We accurately identify the type: a shortened nose or a nose with a retracted ala.
Autologous Cartilage Lengthening
A shortened nose is restored by lengthening it with autologous cartilage.
Customized Alar Correction
We select the method of lowering the ala according to how far the alar rim has retracted upward.
Lisoom Channel
NOTICE
PROCEDURE DATA
Surgery Overview
Doctor's Note
The key to correcting a contracted or upturned nose lies in accurately identifying the type of upturned nose,
lengthening a shortened nose with autologous cartilage and lowering a retracted ala
with a suitable method to restore a natural-looking nose.
PROCEDURE FLOW
01
PHASE I
We precisely diagnose the type of upturned nose and the degree of contracture.
02
PHASE II
We plan the nasal length and alar shape to harmonize with the face.
03
PHASE III
The nose is corrected by lengthening it with autologous cartilage or lowering the ala.
04
PHASE IV
Swelling and recovery are managed systematically according to your progress.
FREQUENTLY ASKED
We have compiled the questions patients ask most often before a consultation.
6F #601, 599-4 Sinsa-dong, Gangnam-gu, Seoul
(No lunch break on weekends and public holidays) *Dr. Won-Suk Kook is not available on the 1st and 3rd Saturdays of each month.
Parking Information Parking is available in the building. 1 hour of free parking
Subway 5-minute walk from Exit 3 of Apgujeong Station on Line 3 (right next to the 14-story CGV building at Exit 3)
