[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’m sharing the case of a patient who underwent multiple rhinoplasty procedures, leading to structural deformation. This revision surgery aimed not only to correct existing issues but also to achieve a more elegant and harmonious nasal shape.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
1. Surgical History
Unknown: Initial surgery
8 years ago: Revision surgery
September 2019: Revision resulting in nasal deformity (bulbous tip + drooping nose tip)
2020: Donated rib cartilage + silicone implant
2021: Ear cartilage graft
January 2024: Autologous rib cartilage + silicone implant
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
2. Patient’s Goals
Reduce excessive nostril visibility on the frontal view.
Elevate the nasal tip.
Enhance the height of the nasal starting point (bridge near the glabella).
Address insufficient volume on the left nasal dorsum.
Achieve a natural and subtle result with added nasal volume for a more refined look.
3. Preoperative Analysis and Findings
Through detailed examinations and precise analysis, the following structural and functional challenges were identified:
Weak nasal tip support due to multiple prior surgeries.
Significant asymmetry of the nostrils.
Volume deficiency on the left nasal dorsum.
Visible scars and loss of skin elasticity in the columellar and alar regions.
4. Surgical Approach
Before (Left) / Immediately After (Right)
a. Structural Reconstruction
Reused existing autologous rib cartilage.
Enhanced stability using additional donated rib cartilage.
Strengthened the nasal tip support with a reinforced framework.
Before (Left) / Immediately After (Right)
b. Symmetry Improvement
Addressed alar asymmetry caused by prior nostril reduction surgeries.
Adjusted the columellar height and achieved a balanced tip projection.
Corrected the nasal dorsum contour by filling depressed areas with cartilage and dermis.
Before (Left) / Immediately After (Right)
c. Functional Enhancement
Performed bilateral nostril corrections to restore symmetry.
Utilized composite skin grafting for areas with thinned or scarred skin.
Conducted columellar skin grafting to improve structural integrity and aesthetics.
Before (Left) / Immediately After (Right)
5. Surgical Results
a. Aesthetic Improvements
Reduced nostril visibility on the frontal view for a more balanced appearance.
Achieved a natural and proportional elevation of the nasal tip.
Restored smooth and symmetrical nasal dorsum contours.
Corrected asymmetry in the nostrils and columellar alignment.
b. Functional Outcomes
Enhanced airflow through the nostrils due to structural corrections.
Improved skin and tissue support in previously compromised areas.
c. Overall Transformation
Natural and elegant nasal line with enhanced volume.
Balanced proportions that harmonize with the patient’s facial features.
A stable, long-lasting result thanks to autologous and donated grafts.
6. Specialist’s Perspective
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
Immediately After Surgery: Nostril View Photos
This case presented a complex challenge due to the cumulative effects of multiple surgeries. Patients with extensive surgical history often require a delicate balance between stability and aesthetics, and safety is always the top priority.
In this case, we utilized a combination of autologous and donated materials to reinforce structural stability while maintaining a natural aesthetic. By addressing both functional and aesthetic concerns, we were able to achieve a result that met the patient’s expectations while ensuring long-term stability.
If you are considering rhinoplasty or have faced challenges with previous surgeries, Nose Lab Clinic is here to provide expert, personalized care tailored to your needs.
Dr. Cha-Young Kang
Director, Nose Lab Clinic
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