Artificially-Looking Nose Corrective Surgery_Rhinoplasty Korea

noselab
2024년 8월 6일
3분 분량

최종 수정일: 9월 30일

Hello, I am Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic.

Today, we will discuss a case of artificially-looking nose correction in a patient who previously underwent rhinoplasty with a very obvious implant. This implant made the nose appear deviated and unnatural. The patient wished to achieve a natural and attractive nose, so I planned the surgery with an emphasis on both balance and function.

Preoperative Analysis of an Artificially-Looking Nose

Let’s analyse the preoperative condition of the patient in detail:

Artificially-looking nose before corrective closed rhinoplasty – frontal view showing nasal deviation, hump, and nostril asymmetry — Frontal view

Slightly deviated nose
The columella and the nose tip looked too elevated in comparison to the nasal alar.
Prominent nostril asymmetry.
Dent on the upper right side of the nostril.

Side profile

Prominent nasal hump
Droopy nose tip
Barely visible columella
Big nasal alar

Artificially-looking nose before corrective closed rhinoplasty – 45-degree angle view showing deviation, hump nose, and tilted tip — 45-degree angle view

Evident implant.
Noticeable nasal deviation.

Artificially-looking nose before corrective closed rhinoplasty – nostril view showing asymmetry, elevated columella, and right-side dent — Nostril photo

Noticeable nostril asymmetry.
The nose tip slightly tilted to the right side.

Surgical Techniques for Artificially-Looking Nose Correction

The surgery proceeded through the closed rhinoplasty approach as follows:

a) Nose tip correction: Using the autologous costal cartilage, we planned a septal extension graft to straighten the bent nose tip.

b) Descending the columella and correcting the nasolabial angle: After correcting the septal cartilage and relocating the alar cartilage, we corrected the nasolabial angle and lowered the columella in a natural-looking way.

c) Reconstruction of the right alar cartilage: We corrected the depressed area and reconstructed the right side alar cartilage that we had suspected was damaged.

d) Outer osteotomy: We performed a delicate osteotomy operation to straighten the deviated nose.

e) Replacing the implant: Removing the existent implant and inserting a wider implant under the periosteum in order to make it less obvious.

f) Septoplasty: Correcting the deviated septum and increasing the stability of the nasal structure to improve the breathing function.

g) Submucosal resection of the turbinates: Using a high-frequency laser to remove tissue from the thick inferior turbinates, to boost the improvement of rhinits.

Before and After Surgery Photos

By comparing the before and after surgery photos we can see the following improvement points:

Before surgery (left), After surgery (right)

Correction of the diagonal deviated nose.
The nose tip that was higher than the alar was improved.
The nostril asymmetry was greatly improved.
The dent on the upper right side of the alar was corrected naturally.

The hooked nose was transformed to a soft straight nose.
The droopy nose tip was adjusted upwards and the balance improved.
The columella was lowered and the nose shape became more harmonious.

The implant became less obvious and the contour of the nose looks more natural.
The nose shape looks smoother.

The nostril asymmetry improved signficantly.

The tilted nose tip took on a more balanced look.

The dent on the right side of the alar was corrected in a natural-looking manner.

After surgery table photos

Photos taken immediately after surgery, frontal view, 45-degree view, and side profile view.

Overview

I believe the most important part of this surgery is descending the columella in a natural-looking manner. The columella plays an important role in the overall shape of the nose. It is not a part that catches the eye, but if the columella is out of place, the appearance becomes strange. In this surgery, the septal cartilage correction, the alar cartilage repositioning, and lowering the columella through a nasolabial angle correction using self-rib cartilage were successful.

Moreover, in the case of patients whose skin is thin, the method to solve the visibility of the implant issue is a difficult part. There are many cases where the height of the bridge needs to be lowered, but thankfully for this patient’s case we did not need to reduce the height to obtain good results. This time the implant was wider and was adjusted meticulously.

Deviated nose correction, improvement of a nasal hump, correction of a dent on the alar, treatment for rhinitis, and others are problems that can be solved at the same time while getting natural results are the advantages of the closed rhinoplasty approach. This method minimizes scarring and ensures a short recovery period.

I hope this blog is helpful for those who are concerned with an obvious implant.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.