Donated Rib Cartilage Rhinoplasty: Revision Surgery for Crooked Nose and Filler Removal

noselab
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최종 수정일: 9월 26일

[Nose Lab Clinic]

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

Today, I'm sharing a case of a patient who underwent revision rhinoplasty using donated rib cartilage to correct a crooked nose and improve nasal obstruction caused by severe septal deviation. The patient also had previous nasal fillers removed during surgery.

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

Preoperative photos showing right side, oblique side, and nostril view of a female patient before revision rhinoplasty using donated rib cartilage for crooked nose correction. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Surgical History Related to Donated Rib Cartilage Rhinoplasty

1. Surgical History

August 2023: Nasal filler injections

2. Initial Assessment

a. Frontal View

Crooked nasal bridge
Asymmetric nostrils
Bulbous and broad nasal tip

b. Lateral View

Flat nasal profile
Long nasal appearance

c. Functional Issues

Chronic rhinitis symptoms
Severe nasal obstruction
Significant septal deviation

Endoscopic images of the nasal cavity showing septal deviation and turbinate hypertrophy prior to revision rhinoplasty using donated rib cartilage. — Nasal Endoscopy Photos

3. Patient’s Requests for Donated Rib Cartilage Rhinoplasty

Correction of crooked nose
Raising nasal tip height
Reducing dorsal hump
Achieving a shorter-looking nose
Preferred use of donated rib cartilage

4. Surgical Procedure Using Donated Rib Cartilage

a. Functional Correction

eptoplasty for deviated septum
Radiofrequency laser turbinoplasty (inferior turbinates)

b. Structural Reconstruction

Septal extension graft using donated rib cartilage combined with septal cartilage
Reduction of dorsal hump
Adjustment of nasolabial angle (tip rotation)

c. Aesthetic Enhancements

Removal of nasal fillers
Refinement of nasal tip height
Adjustment of nasal radix (starting point)
Correction of asymmetry

5. Surgical Results

Before and immediately after revision rhinoplasty using donated rib cartilage for correcting nasal deviation and filler removal. — Before (Left) / Immediately After (Right)

a. Frontal View

Significantly straightened nasal bridge
Improved nostril symmetry
Slimmer, refined nasal contour

Before (Left) / Immediately After (Right)

b. Lateral View

Elevated nasal tip for a more defined profile
Lowered radix height creating a more harmonious shape
Shorter, balanced appearance of the nose
Improved nasolabial angle for a natural look

Oblique side view before and immediately after revision rhinoplasty using donated rib cartilage for nasal deviation and tip refinement. — Before (Left) / Immediately After (Right)

c. Functional Improvement

Resolved nasal obstruction
Reduction in rhinitis symptoms
Stabilized and straightened nasal septum

Nostril view before and immediately after revision rhinoplasty using donated rib cartilage, showing improved nostril symmetry and columella alignment. — Before (Left) / Immediately After (Right)

6. Expert Insights

This case highlights the effectiveness of donated rib cartilage rhinoplasty for patients with severe septal deviation, nasal asymmetry, and chronic obstruction.

By addressing both structural and functional issues, the surgery achieved long-term stability, improved breathing, and natural aesthetics.

Additionally, removing previous fillers helped create a smoother, more predictable result.