Enhancing Nasal Height & Resolving Nasal Obstruction – Revision Rhinoplasty with Thread Removal

Patient Background & Goals – Enhancing Nasal Height & Resolving Nasal Obstruction

As the year-end approaches, many patients visit us for consultations and surgeries. Amid the busy season, I document and share meaningful surgical cases to guide others. This case involves a patient dissatisfied with the results of fat grafting and thread lifting. It highlights the limitations of thread lifting and effective solutions.

1. Surgical and Procedural History

• December 2022: Fat grafting and thread lifting (both dissolvable and non-dissolvable threads).

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

2. Patient Goals

• Achieve a higher and more defined nose.

• Narrow the intercanthal distance for better facial harmony.

• Create a smooth and straight nasal line.

• Elevate the nasal bridge naturally without an artificial “lifted” appearance.

• Maintain subtle and elegant results.

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

3. Medical Assessment Related to Nasal Obstruction

Endoscopic Findings:

• Left septal deviation.

• Bilateral inferior turbinate hypertrophy.

• Septal deviation with obstruction.

• Hypertrophic rhinitis causing chronic nasal symptoms.

Nasal Endoscopy Photos 1.Right Side 2.Left Side

4. Surgical Plan – Enhancing Nasal Height & Resolving Nasal Obstruction

a. Functional Improvements

• Septoplasty to correct septal deviation and improve airflow.

• Radiofrequency inferior turbinate reduction to alleviate obstruction.

b. Removal of Foreign Material

• Complete removal of residual non-dissolvable threads.

• Removal of excess grafted fat on the nasal dorsum.

Photos of Removed Non-Absorbable Sutures

c. Structural and Aesthetic Refinements

• Autologous rib cartilage for stable support.

• Precise adjustments for a smooth nasal line.

• Proportional augmentation to achieve desired height and projection.

5. Surgical Results

Frontal View: Balanced and symmetrical appearance with natural nasal height.

Before (Left) / Immediately After (Right)

Oblique View: Improved nasal length and smooth dorsum.

Before (Left) / Immediately After (Right)

Side View: Refined straight line from radix to tip with corrected nasolabial angle.

Before (Left) / Immediately After (Right)

Nostril View: Even nostril shape with straighter columella.

Before (Left) / Immediately After (Right)

Functional Improvements & Holistic Changes

• Resolved nasal obstruction and improved breathing.

• Reduced rhinitis symptoms.

• Narrower and more harmonious intercanthal distance.

• Elegant yet natural appearance without an overtly “surgical” look.

6. Expert Insights

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

Immediately After Surgery: Nostril View Photos

This case shows how targeted revision rhinoplasty—focusing on enhancing nasal height and resolving nasal obstruction—can address both aesthetic and functional issues. Removing foreign materials and reconstructing with autologous cartilage ensures stability and long-lasting natural results.

At Nose Lab Clinic, we provide customized surgical solutions tailored to each patient’s needs.

All surgeries at Nose Lab Clinic are performed using the closed rhinoplasty approach.

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