Creating a Natural Hump Nose After Orthognathic Surgery – Rhinoplasty Review

[Nose Lab Clinic]

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

Today, I’ll share a case of rhinoplasty for a patient who underwent orthognathic (jaw) surgery 10 years ago. The goal was to create a natural-looking hump nose (dorsal hump preservation) while correcting nasal deviation using autologous rib cartilage.

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

1. Patient’s Surgical History

• 10 years ago: Orthognathic surgery

2. Initial Assessment

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

a. Frontal View

✔ Deviated nose

✔ Bulbous, wide nasal tip

✔ Asymmetry in nostril shape

b. Side Profile

✔ Dorsal hump (hump nose)

✔ Short nasal tip

✔ Columellar retraction (retracted columella)

c. Functional Issues

✔ Nasal obstruction

✔ Chronic rhinitis symptoms

Nasal Endoscopy Photos

This image shows a deviated nasal septum towards the right and bilateral inferior turbinate hypertrophy.

3. Patient’s Goals

These are the hump nose reference images desired by the patient.

• Maintain a natural-looking hump nose

• Correct nasal deviation

• Refine bulbous nasal tip

• Adjust columella position for a more balanced nasolabial angle

4. Surgical Plan & Execution

a. Structural Reconstruction

✔ Rebuilt the weakened septal cartilage (damaged from orthognathic surgery) using autologous rib cartilage

✔ Performed lateral osteotomy (bone reshaping) to straighten the deviated nose

✔ Extended the septum with rib cartilage to lengthen the nasal tip

b. Hump Nose Refinement

✔ Sculpted the rib cartilage to preserve a natural-looking dorsal hump

✔ Customized bridge height based on patient preference

✔ Ensured a smooth, harmonious nasal contour

c. Detail Adjustments

✔ Corrected nasolabial angle (columella-labial angle) for a proportional appearance

✔ Lowered the columella to balance the facial profile

✔ Refined and slimmed the bulbous nasal tip

5. Post-Surgical Outcomes

Before (Left) / Immediately After (Right)

a. Frontal View

✔ Corrected nasal deviation

✔ Slimmer, more refined nasal tip

✔ Overall balanced and symmetrical appearance

Before (Left) / Immediately After (Right)

b. Side Profile

✔ Naturally enhanced dorsal hump

✔ Columella repositioned to a proportional height

✔ Harmonious nasolabial angle

Before (Left) / Immediately After (Right)

c. Nostril & Base View

✔ More symmetrical nostrils

✔ Stronger, stabilized septum for long-term support

Before (Left) / Immediately After (Right)

6. Expert Insights

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

Immediately After Surgery: Nostril View Photos

This case was a successful transformation of a post-orthognathic surgery nose into a natural-looking dorsal hump nose, a style that is gaining popularity.

1️⃣ The patient's septal cartilage was significantly weakened from previous orthognathic surgery, requiring rib cartilage reconstruction to provide long-term stability.

2️⃣ The patient desired a refined but not completely straightened bridge, preferring to maintain a subtle hump for a more natural and distinctive look.

3️⃣ By adjusting the columella position, the final outcome not only improved nasal aesthetics but also enhanced overall facial balance.

🔸 Autologous rib cartilage was used for durability and safety, avoiding synthetic implants while ensuring a natural and stable result.

This is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

Thank you.

https://blog.naver.com/cykang/223801874231