Case Study: Customized Nasal Reconstruction for Natural and Harmonious Results

noselab
2024년 12월 24일
2분 분량

최종 수정일: 8월 19일

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

Today, I’d like to share the story of a patient who transformed their artificial-looking nose into a naturally beautiful and harmonious profile through Customized Nasal Reconstruction.

1. Surgical History and Patient Goals in Customized Nasal Reconstruction

Surgical History:

2016: Nose filler injection
May 2023: Silicone implant, septal cartilage, and ear cartilage surgery with filler dissolution

Design consultation photos before customized nasal reconstruction surgery – frontal view, left side view, and oblique side view showing nasal shape and proportion — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Patient Goals:

Achieve a straight, elegant profile with a natural straight-line dorsum
Refine the nasal tip for a sharper appearance
Lower the starting point of the nasal bridge
Attain a natural and harmonious appearance
Resolve nasal obstruction

Design consultation photos before customized nasal reconstruction surgery – side view, oblique side view, and nostril view highlighting nasal bridge, tip, and asymmetry — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

2. Preoperative Analysis for Customized Nasal Reconstruction

Frontal View :

Broad and blunt nasal tip
Wide nasal base
Prominent nostrils
Visible asymmetry

Side View :

Artificially high nasal dorsum
Upturned and blunt nasal tip
High starting point of the nasal bridge

Nostril View :

Asymmetry between left and right nostrils
Visible scar tissue on the right columella
Rightward tilt of the columella

Functional Issues:

Nasal obstruction (right worse than left)
CT and endoscopy findings: Leftward deviation of the septal cartilage and hypertrophied inferior turbinates

3. Surgical Plan and Execution in Customized Nasal Reconstruction

Frontal view comparison before and immediately after customized nasal reconstruction surgery – improved nasal bridge and refined tip — Before (Left) / Immediately After (Right)

Structural Correction:

Relocated the deviated septal cartilage to the right and secured its position
Strengthened the weakened septum with donated rib cartilage
Used septal extension grafting to correct the upturned nasal tip

Side view before and immediately after customized nasal reconstruction surgery – lowered nasal starting point, refined tip, and natural straight dorsum. — Before (Left) / Immediately After (Right)

Aesthetic Refinement:

Realigned and repositioned nasal tip cartilages for a natural contour
Removed scar tissue on the right columella
Balanced nostril asymmetry
Lowered the nasal starting point to create a softer profile
Sculpted a natural, elegant straight-line nasal bridge

Oblique side view before and immediately after customized nasal reconstruction – refined nasal tip, lowered bridge starting point, and improved facial harmony. — Before (Left) / Immediately After (Right)

Functional Improvement:

Performed septoplasty to correct septal deviation
Reduced hypertrophied inferior turbinates using radiofrequency ablation

Nostril view before and immediately after customized nasal reconstruction – corrected asymmetry, reduced scar tissue, and improved columella alignment — Before (Left) / Immediately After (Right)

4. Expert Insights on Customized Nasal Reconstruction

Achieving a naturally beautiful nose through Customized Nasal Reconstruction requires balancing structure, aesthetics, and functionality.

Key Takeaways:

Avoid Overcorrection: Artificially high bridges or exaggerated shapes disrupt facial harmony.
Prioritize Functionality: Correcting deviations ensures long-term breathing comfort and health.
Tailored Approach: Each patient’s unique anatomy, skin, and preferences must guide the surgical plan.