Cleft Lip Nose Revision Surgery: A Striking Transformation from Natural to Glamorous

[Nose Lab Clinic]

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

Today, I’ll share the case of a patient with cleft lip and palate who underwent revision rhinoplasty to achieve a more defined and glamorous nasal contour after previously opting for a natural result.

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

1. Surgical Background & History

Understanding the Case: Previous Surgeries for Cleft Lip Nose Revision

Surgical Timeline

• Childhood: Primary cleft lip and palate repair

• 10 Years Ago: Alar base reduction + silicone implant

• 4 Years Ago: Rib cartilage graft + silicone augmentation at Nose Lab Clinic

2. Initial Evaluation

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

Unique Challenges in Cleft Lip Nose Revision Surgery

Structural Considerations

• Asymmetry from cleft lip and palate

• Previously satisfied with a natural look

• Desires a more glamorous result

Functional Issues

• Chronic nasal congestion

• Symptoms of rhinitis

3. Patient Goals & Expectations

Objectives for the Cleft Lip Nose Revision Surgery

✔ Raise the nasal tip for more projection

✔ Refine the widened nasal base

✔ Add definition for a glamorous contour

✔ Create a dramatic enhancement beyond prior surgeries

4. Surgical Approach

Strategic Plan for Cleft Lip Nose Revision Surgery

Structural Support

• Rib cartilage used to rebuild septal structure

• Re-contouring old grafts for enhanced strength

• Stable foundation for nasal shape

Aesthetic Refinement

• Tip projection and elevation

• Narrowing of nasal width

• Sculpted contours for an elegant silhouette

Function & Balance

• Alar base reduction for proportion

• Functional procedures for improved breathing

• Overall symmetry enhancement

5. Post-Operative Results

Before & After: Results of Cleft Lip Nose Revision Surgery

Before (Left) / Immediately After (Right)

Frontal View

• Slimmer, more defined nose shape

• Elevated tip for a 3D appearance

• Improved symmetry

Before (Left) / Immediately After (Right)

Side Profile

• Sharper, more striking nasal lines

• Heightened nasal tip

• Harmonized facial proportions

Before (Left) / Immediately After (Right)

Nostril View

• Reduced nostril base width

• Better airflow and nasal passage

• Balanced structural outcome

Before (Left) / Immediately After (Right)

6. Expert Commentary

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

Immediately After Surgery: Nostril View Photos

Cleft Lip Nose Revision Surgery Requires Tailored Techniques

This patient previously underwent cleft lip nose reconstruction at our clinic and initially chose a natural look. With time, their aesthetic goals evolved toward a more glamorous and refined appearance.

Cleft-related nasal revisions demand specialized expertise due to weak and asymmetric anatomy. In this case, we prioritized building a solid structure using rib cartilage, then focused on elevating the nasal tip and refining nasal width to achieve a high-definition result.

Key Procedures:

• Rib cartilage-based septal reconstruction

• Tip elevation and width narrowing

• Alar base refinement

• Functional breathing correction

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This transformation illustrates how cleft lip nose revision surgery can evolve from subtle naturalism to bold definition when guided by both medical insight and aesthetic sensibility.

Nose Lab Clinic performs all surgeries using a closed (scarless) approach.

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