Crooked Nose and Asymmetric Nostrils Correction with Closed Rhinoplasty

noselab
2024년 8월 12일
3분 분량

최종 수정일: 9월 30일

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today, I will present a case of crooked nose and asymmetric nostrils correction performed through closed rhinoplasty.

This patient had already undergone several rhinoplasty surgeries and visited Noselab for her fourth revision rhinoplasty. Her main concerns were a deviated nose tip, severe nostril asymmetry, and a wide, droopy nasal tip.

Preoperative Analysis for Crooked Nose and Asymmetric Nostrils Correction

Preoperative frontal view before crooked nose and asymmetric nostrils correction with closed rhinoplasty in Korea — Frontal view

Nose tip deviated to the right
Severe nostril asymmetry
Left alar appears pinched
Wide and droopy nose tip

Side profile

Barely visible columella in between the alar.
Long philthrum.

Preoperative 45-degree view showing prominent deviation and droopy nasal tip before crooked nose and asymmetric nostrils correction — 45-degree angle view

Prominent deviation.
Wide and droopy nose tip.

Preoperative nostril view showing severe asymmetry and tilted columella before crooked nose and asymmetric nostrils correction — Nostril photo

The columella is pulled to the right side
The right nostril is smaller than the left one
Noticeably asymmetric nostrils

Surgical Techniques for Crooked Nose and Asymmetric Nostrils Correction

a) Autologous costal cartilage and septal reconstruction

The septal cartilage was lacking due to the previous surgery, so we reconstructed it using the self-rib cartilage.
Through the septal reconstruction we managed to fixate the shape and location of the nose tip.

b) Septal extension graft

Reinforcement and septal extension using the reconstructed septal cartilage.
Correction of the droopy nose tip by increasing the height of the structure of the nasal tip.

c) Septoplasty

Correcting the crooked nose through a septal deviation corrective surgery, as well as improving the patient’s respiratory function.

d) Submucous resection of the inferior turbinates

In order to improve the symptoms of rhinitis, we performed a submucosal resection of the inferior turbinates using a high-frequency laser.

e) Usage of the existing hip dermis

Careful removal and reusage of the dermis used in the previous surgery.

f) Correction of the nose tip.

Appropriate correction of the nose tip deviation using the reconstructed septal cartilage.
Shape improvement by raising the wide and droopy nose tip.

g) Correction of the nostril asymmetry

By straightening the nose tip, the nostril asymmetry improved in a natural-looking manner.

Every procedure was performed through the closed rhinoplasty approach, without leaving any external scars.

Before and After Surgery Photos

Frontal view before surgery (left), After surgery (right)

The right-sided deviation of the nose tip was corrected and the nose tip was straightened to be in the middle.
Great improvement of the previously severe nostril asymmetry.
The pinched appearence of the left side alar decreased.
The wide and droopy appearance of the nose tip became a more natural and better looking nose shape.

Side profile before surgery (left), After surgery (right)

Adjustment of the columella for visibility in between the alar.
The philtrum lenght now appears to be visually appropriate.

45-degree angle before surgery (left), After surgery (right)

The previously crooked nose was transformed into a smooth line.
By improving the wide and droopy nose tip, the appearance took on a more balanced look.

Nostrils before surgery (left), After surgery (right)

The columella skewed to the right side is now fixed straight in the middle.
The size and shape of both nostrils improved and look more similar.

After surgery table photos

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Overview – Crooked Nose and Asymmetric Nostrils

This case is a good example of the relationship between asymmetric nostrils and a crooked nose. In many cases, nostril asymmetry is a secondary phenomenon caused by the tip of the nose being crooked to one side. Therefore, attempts to simply correct nostril asymmetry (e.g., nostril lowering surgery) are likely to fail to solve the fundamental problem.

In this patient’s case, the nostril asymmetry was naturally improved by correcting the crooked nasal tip. This shows how important it is to accurately identify the cause of the asymmetry and choose the appropriate correction method.

Furthermore, correcting the septal cartilage is very important to correct the tip of the nose. This is an area where otolaryngologists are particularly specialized. In this case, septal cartilage reconstruction using autologous costal cartilage played a key role in achieving a successful outcome.

I hope this case was helpful to those concerned about a crooked nose and asymmetric nostrils. The important thing to note is that not all crooked nose corrections are done in the same way. The appropriate correction method may vary depending on each patient’s condition and depending on the cause of the deviation.

Therefore, it is important to accurately understand your condition through consultation with a specialist and establishing the optimal surgical plan based on it. Based on its rich expertise, Noselab Rhinoplasty Clinic provides the most suitable solution for each patient.

With Noselab Rhinoplasty Clinic you can achieve a beautiful and healthy nose.

Thank you.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.