Correcting Nasal Redness and Creating a Refined Nasal Line: A Revision Rhinoplasty Case Study

[Nose Lab Clinic]

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

Today, I’m sharing a detailed case involving the correction of nasal redness and the creation of a more sophisticated nasal line through revision rhinoplasty. This case highlights the integration of structural and aesthetic enhancements for optimal results.

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

1. Surgical History and Primary Concerns

Surgical History:

• First surgery: Autologous rib cartilage + silicone implant

• Second surgery: Donor rib cartilage + silicone implant

Primary Symptoms:

• Nasal redness raising concerns about inflammation

• High nasion (bridge start point)

• Broad nasal tip

• Need for nasolabial angle adjustment

• A generally elongated nose appearance

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

2. Patient’s Goals

• Improve nasal redness and minimize inflammation risks

• Adjust the starting point of the nasal bridge

• Reduce nasal tip width

• Create a sophisticated columella line

• Improve nasolabial angle

• Address elongated nose perception

• Achieve a more Westernized aesthetic

These are the reference images the patient desires.

3. Surgical Plan and Procedure

Before (Left) / Immediately After (Right)

a. Structural Reconstruction

• Reconstructed the nasal septum using autologous rib cartilage.

• Reduced nasal tip width through nasal base correction.

• Designed and sculpted a new implant for enhanced balance.

Before (Left) / Immediately After (Right)

b. Shape Refinement

• Adjusted the nasolabial angle.

• Lowered the nasal bridge starting point for natural proportions.

• Corrected overall nasal length.

Before (Left) / Immediately After (Right)

c. Aesthetic Enhancement

• Sculpted a refined columella line for a sophisticated appearance.

• Balanced the nasal bridge line for a natural transition.

• Improved overall facial harmony.

Before (Left) / Immediately After (Right)

4. Results

a. Frontal View:

• Reduced nasal tip width, achieving a sleeker appearance.

• Improved nasal redness for a healthier skin tone.

• Enhanced overall symmetry and sophistication.

b. Side View:

• Lowered the nasal bridge starting point for a softer profile.

• Improved nasolabial angle for a balanced projection.

• Adjusted nasal length for better facial proportions.

c. Oblique View:

• Enhanced three-dimensional nasal bridge contour.

• Achieved a refined and natural curvature in the columella.

• Improved overall facial harmony and aesthetics.

d. Nasal Base View:

• Reduced nasal base width for a balanced look.

• Maintained a stable nasal tip structure.

• Preserved optimal breathing functionality.

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

Immediately After Surgery: Nostril View Photos

5. Expert Perspective

This case required a combination of structural reconstruction and aesthetic refinement. Significant cartilage loss from previous surgeries necessitated the use of autologous rib cartilage for reliable reconstruction. The patient’s desire for a Westernized yet natural appearance was achieved by prioritizing balance and proportion in the nasal design.

Additionally, addressing nasal redness was essential to alleviate inflammation concerns while enhancing skin health and overall appearance. The results demonstrate how functional and aesthetic goals can be effectively combined for patient satisfaction.

At Nose Lab Clinic, we continue to prioritize patient safety and satisfaction through personalized surgical planning and precision techniques.

Thank you for reading, and I look forward to sharing more transformative stories in the future.

Dr. Cha-Young Kang

Director, Nose Lab Clinic

https://blog.naver.com/cykang/223728705198