Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share the story of a patient who struggled with significant nostril asymmetry. Her experience not only highlights the advancements in modern rhinoplasty but also underscores the importance of personalized, tailored approaches.
1. Initial Consultation and Design Assessment
This patient’s rhinoplasty journey spans over 15 years. Her first procedure took place at another clinic, where a "soft bridge" look was created using ear cartilage, septal cartilage, and donor rib cartilage—popular methods at the time. Two years later, she also underwent a lip line improvement procedure. As the years passed, however, her nose began to change shape, eventually leading her to seek treatment for her current concerns.
During our initial consultation, she expressed frustration over the asymmetry of her nostrils, specifically pointing out that the floor of her right nostril appeared sunken and uneven. Her main question was, "Is it possible to correct this nostril asymmetry?"
After a thorough facial analysis, I observed several issues contributing to her overall appearance: a slightly upturned nose, nostril asymmetry, a depressed nasal bridge, and a high nasion, or the starting point of the nasal bridge.
Pre-Surgery Design Consultation Photos
Pre-Surgery Design Consultation Photos
2. Crafting a Precise Surgical Plan
Correcting nostril asymmetry requires careful, nuanced planning. To address this patient's needs, we developed a tailored plan, incorporating multiple techniques to provide a balanced solution.
We decided to perform a septal reconstruction, adjust the alar cartilage, and replace her old implants with new, more suitable ones. To improve the depression in the right nostril floor, we assessed the bone structure and skin thickness, opting to use either ear cartilage or autologous rib cartilage to provide the necessary volume and structural support.
3. Immediate Post-Surgery Results
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Immediately following the surgery, we saw highly satisfying results. The nostril asymmetry had been greatly reduced, and her nose now displayed a more balanced appearance. From a profile view, the nasal bridge line appeared smooth and natural, and the previous protrusion of her lip profile was also softened, enhancing the overall harmony of her features.
4. Key Takeaways for Asymmetry Correction
One essential point to consider in nostril asymmetry correction is that it isn’t simply about adjusting the nose. Achieving a balanced look involves taking the entire face into account. In some cases, aiming for a perfect symmetry may not produce the best results; leaving a subtle "imperfection" can create a more natural, harmonious look.
This case emphasizes the importance of personalized planning that respects each patient's unique facial characteristics rather than simply aiming for a "perfect" nose.
For those considering rhinoplasty to correct nostril asymmetry or an upturned nose, especially if facial asymmetry is also a concern, I hope this example provides helpful insight and reassurance.
At Nose Lab Clinic, we are dedicated to delivering natural, healthy beauty that enhances each patient’s unique features.
Thank you,
Dr. Cha-Young Kang, Director of Nose Lab Clinic.
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