Crooked Nose, Bulbous Tip, and Nostril Asymmetry Correction – Revision Rhinoplasty in Korea

noselab
2024년 10월 18일
2분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.

Today, I’d like to present a crooked nose revision rhinoplasty case in Korea, involving a patient with a crooked nose, bulbous nasal tip, and nostril asymmetry. This was the patient’s third rhinoplasty after two previous surgeries.

Pre-Surgery Consultation for Crooked Nose Revision Rhinoplasty

Pre-Surgery Design Consultation: Right Oblique, Right Profile, and Nostril Views

The patient’s condition before surgery:

Crooked nasal bridge bending to the right
Nasal tip deviating to the left
Bulbous and undefined nasal tip
Nostril asymmetry with tilted columella
High dorsal starting point and droopy tip
Uneven, bumpy nasal bridge

Patient’s requests included: correction of crooked nose, smoothing the dorsal surface, maintaining nasal height, and resolving occasional unpleasant nasal odor.

Surgical Procedure in Crooked Nose Revision Rhinoplasty

The surgery was performed using a closed (endonasal) approach, with the following steps:

a) Septal Reconstruction with Autologous Rib Cartilage – Rib cartilage harvested through a small incision was used to reconstruct the septum and secure structural stability.

b) Septal Extension – Corrected the deviated nasal tip and provided central alignment.

c) Dermal Graft – Covered the protruding cartilage at the tip, creating a smoother skin surface.

d) Lateral Osteotomy – Straightened the crooked nasal bridge and refined the nasal framework.

e) Implant Replacement – Removed the previous silicone implant and replaced it with a new one for an even dorsal line.

f) Nostril Asymmetry Correction – Realigned the septum and repositioned the alar cartilage for improved symmetry.

All procedures were performed endonasally, leaving no external scars.

Before and After Results of Crooked Nose and Bulbous Tip Correction

Frontal View:

Crooked bridge straightened
Tip deviation corrected
Bulbous tip refined for a more defined shape

Oblique View:

High starting point lowered
Droopy nasal tip lifted
Facial harmony improved

Side profile view before surgery (left) after surgery (right)

Profile View:

Bumpy dorsal line smoothed
Droopy tip elevated
Natural and proportional contour achieved

Nostril View:

Nostril asymmetry corrected
Columella centered
Wide tip refined into a slimmer shape

Final Evaluation

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

Immediate post-surgery nostril view after crooked nose revision rhinoplasty, showing corrected nostril asymmetry and columella alignment. — Photo of the nostrils

This crooked nose revision rhinoplasty successfully corrected structural and aesthetic issues caused by multiple previous surgeries. Septal reconstruction with autologous rib cartilage ensured stability, while osteotomy and implant replacement straightened and balanced the nose.

By refining the bulbous tip and correcting nostril asymmetry, we achieved both functional and aesthetic improvements. Using a closed approach allowed us to address these complex issues without leaving external scars.

At Nose Lab Clinic, we combine ENT expertise with extensive rhinoplasty experience to provide tailored surgical plans. For patients with multiple surgeries, a comprehensive approach considering both function and aesthetics is essential for long-term success.

This has been Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.Thank you.