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Case Study: Transforming an Artificial Nose into Natural Beauty with Customized Nasal Reconstruction

noselab

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.


Today, I’d like to share the story of a patient who transformed their artificial-looking nose into a naturally beautiful and harmonious profile through a customized reconstruction surgery.


1. Surgical History and Patient Goals


Surgical History:

  • 2016: Nose filler injection

  • May 2023: Silicone implant, septal cartilage, and ear cartilage surgery with filler dissolution

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Patient Goals:

  • Achieve a straight, elegant profile (natural straight-line dorsum)

  • Refine the nasal tip for a sharper appearance

  • Lower the starting point of the nasal bridge

  • Attain a natural and harmonious appearance

  • Resolve nasal obstruction

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

2. Preoperative Analysis


a. Frontal View:

Before (Left) / Immediately After (Right)
Before (Left) / Immediately After (Right)
  • Broad and blunt nasal tip

  • Wide nasal base

  • Prominent nostrils

  • Visible asymmetry


b. Side View:

Before (Left) / Immediately After (Right)


  • Artificially high nasal dorsum

  • Upturned and blunt nasal tip

  • High starting point of the nasal bridge

Before (Left) / Immediately After (Right)


c. Nostril View:

Before (Left) / Immediately After (Right)


  • Asymmetry between left and right nostrils

  • Visible scar tissue on the right columella

  • Rightward tilt of the columella


d. Functional Issues:

  • Nasal obstruction (right worse than left)

  • CT and endoscopic findings: Leftward deviation of the septal cartilage and hypertrophied inferior turbinates


3. Surgical Plan and Execution


a. Structural Correction:

  • Relocated the left-deviated septal cartilage to the right and secured its position

  • Strengthened the weakened septum with donated rib cartilage

  • Used septal extension grafting to correct the upturned nasal tip


b. Aesthetic Refinement:

  • Realigned and repositioned nasal tip cartilages for a natural contour

  • Removed scar tissue on the right columella

  • Balanced nostril asymmetry

  • Lowered the nasal starting point to create a softer profile

  • Sculpted a natural, elegant straight-line nasal bridge


c. Functional Improvement:

  • Performed septoplasty to correct the septal deviation

  • Reduced hypertrophied inferior turbinates using radiofrequency ablation

Immediately After Surgery: Frontal, Oblique Side, and Side View Photos











Immediately After Surgery: Nostril View Photos


5. Expert Insights


Achieving a naturally beautiful nose requires a balance between structure, aesthetics, and functionality. In this case, the patient sought a "refined yet natural" appearance—an ideal that can only be achieved through a highly individualized approach.


Key Takeaways:

  • Avoid Overcorrection: Artificially high bridges or exaggerated shapes often disrupt facial harmony.

  • Prioritize Functionality: Correcting structural issues like septal deviations ensures long-term comfort and health.

  • Tailored Aesthetic Goals: Each patient’s unique facial anatomy, skin condition, and personal preferences must guide the surgical plan.


At Nose Lab Clinic, we specialize in creating natural, harmonious results that blend seamlessly with each patient’s unique features.


6. Closing Thoughts


This case underscores the importance of meticulous planning and personalized care in achieving naturally beautiful and functional results. By addressing both the cosmetic and functional aspects, the patient now enjoys not only an aesthetically pleasing nose but also improved breathing and comfort.


For those considering nasal reconstruction or correction, I hope this case provides inspiration and guidance.


Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.


Thank you.



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