Creating a Glamorous Nose After Filler โ Real Surgical Case with Donated Rib Cartilage
- noselab
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- 2๋ถ ๋ถ๋
Dr. Cha-Young Kang | NOSELAB Clinic
Hello, this is Dr. Cha-Young Kang, Director of NOSELAB Clinic.
Today, Iโd like to share a case involving a patient who previously underwent filler and thread lifting procedures, but remained dissatisfied with the nasal contour. She later opted for rhinoplasty to achieve a more refined and glamorous look.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
๐ Treatment History
7 years ago: Non-surgical nose filler + thread lifting
๐ Initial Assessment
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
1. Frontal View
Low nasal bridge
Small, bulbous nasal tip
Wide nasal appearance
Dorsal asymmetry due to filler
Visually deviated nose
2. Side View
Low nasal profile
High nasal starting point
Uneven, bumpy bridge
Protruding upper lip
3. Nostrils View
Asymmetry
4. Notable Findings
Residual filler present
Skin with minimal stretchability
Desire for a โglamorousโ nose
โจ Patientโs Goals
A more glamorous and defined nasal line
Correction of dorsal asymmetry
Improve overall nasal alignment
๐ Surgical Strategy
1. Removal of Foreign Substances
Complete removal of residual filler
Thread (silicone or PDO) removal for safety
2. Structural Reconstruction
Used donated rib cartilageย (patient preference)
Supplemented with patientโs own septal cartilage
Built a strong, stable nasal tip support framework
3. Aesthetic Refinement
Enhanced nasal definition through controlled height differential between bridge and tip
Corrected dorsal asymmetry and visual deviation
Adjusted nasolabial angle to soften profile and reduce upper lip projection
โ Surgical Outcomes
Before (Left) / Immediately After (Right)
1. Frontal View
Improved dorsal symmetry
Straightened nasal line
Refined tip width
Before (Left) / Immediately After (Right)
2. Side View
Distinct height contrast between bridge and tip creates a glamorous silhouette
Bulbous tip reshaped and refined
Improved nasolabial angle and profile balance
Before (Left) / Immediately After (Right)
3. Nostrils View
Corrected nostril asymmetry
Enhanced nasal base proportion
Before (Left) / Immediately After (Right)
4. Overall Results
Achieved glamorous contour within the skinโs natural stretch limits
Stable and safe internal structure
Harmonious facial proportions
๐จโโ๏ธ Expert Commentary
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photo
This case involved a patient who was dissatisfied with the results of a previous non-surgical nose enhancement using filler and threads. A key challenge was her skin's limited elasticity, which made it difficult to significantly raise the nasal tip height.
By focusing on the contrast between the nasal bridge and tip, we were able to create a visually striking yet natural look. Donated rib cartilage, combined with septal cartilage, provided strong support for the nasal tip. We also addressed the patientโs concerns about asymmetry and deviation for a more balanced, refined result.
This case demonstrates that even with limitations like skin tension, itโs possible to achieve a glamorous transformation through precise surgical planning and the right materials.
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