Restoring Facial Balance: Facial Asymmetry Correction with Crooked Nose and Depressed Nasal Bone Repair

noselab
5일 전
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Hello,

This is Dr. Cha-Young Kang, board-certified plastic surgeon and medical director of NOSELAB Plastic Surgery Clinic.

Today, I’d like to share a complex facial asymmetry correction case involving a patient who presented with a crooked nose, nostril asymmetry, and a depressed right nasal bone.

The main goal was to restore facial balance through osteotomy and septal reconstruction while maintaining a natural nasal tip height.

Comprehensive Surgical Approach for Facial Asymmetry Correction

Preoperative consultation photos before facial asymmetry correction, showing frontal, left oblique, and side views of the patient’s nose and facial structure. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Primary Concerns:

Visible facial asymmetry
Crooked nasal axis and uneven nostrils
Depressed right nasal bone

Patient Goals:

Correction of the crooked nose and nostril asymmetry
Restoration of the depressed right nasal bone
Minimal change in nasal tip projection
Natural and well-balanced facial proportions

To achieve these outcomes, a step-by-step facial asymmetry correction plan was designed to address both functional and aesthetic issues simultaneously.

Preoperative consultation photos before facial asymmetry correction, showing right side, right oblique, and nostril views for nasal and facial evaluation. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Restoring a Collapsed Nasal Bone and Correcting Septal Deviation in Facial Asymmetry

1. Osteotomy for the Depressed Right Nasal Bone

The patient’s right nasal bone was collapsed, causing noticeable facial asymmetry.

Through precise osteotomy, the depressed bone was realigned to restore natural contour and symmetry across the midface.

2. Correction of Septal Deviation

The crooked nose originated from an internally deviated septum.

We corrected the septal deviation to realign the nasal axis and prevent future deviation relapse—an essential step in stable facial asymmetry correction.

3. Septal Reconstruction with Autologous Rib Cartilage

Using the patient’s own rib cartilage, we reconstructed and extended the septum to reinforce structural support.

This preserved the patient’s desired nasal tip height while ensuring long-term balance and stability.

4. Chin Augmentation for Overall Facial Balance

To complement the upper facial corrections, subtle chin augmentation was performed to enhance symmetry and achieve a harmonious facial ratio.

5. Nasolabial Angle Adjustment

Adjusting the nasolabial angle softened the upper lip profile and improved the facial side line, contributing to an overall balanced appearance after facial asymmetry correction.

Surgical Outcome of Facial Asymmetry Correction

Before and after photos of facial asymmetry correction, showing improvement in nasal alignment and overall facial symmetry — left: before surgery, right: immediately after surgery. — Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View:

Restored midline symmetry after nasal bone correction
Straighter nasal axis and aligned nostrils

Side view before and after facial asymmetry correction, showing improved nasal bone alignment and balanced chin projection — left: before surgery, right: immediately after surgery. — Before Surgery (Left) / Immediately After Surgery (Right)

Lateral View:

Improved nasolabial angle and smoother contour
Balanced projection between the nose and chin
Maintained nasal tip height as per patient’s request

Oblique side view before and after facial asymmetry correction, showing improved nasal symmetry and balanced facial contour — left: before surgery, right: immediately after surgery. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View:

Corrected nostril asymmetry
Columella precisely aligned with facial midline

Personalized Planning for Natural and Stable Facial Asymmetry Correction Results

This surgery was not merely a cosmetic rhinoplasty—it was a comprehensive facial asymmetry correction involving skeletal realignment, septal reconstruction, and contour refinement.

Restoring a Collapsed Nasal Bone

Repairing a depressed nasal bone demands precision and alignment with surrounding facial structures.

Through careful osteotomy, we restored the right nasal bone contour and achieved symmetry without overcorrection.

Importance of Septal Deviation Correction

A crooked nose is often caused by septal deviation. Correcting only the external structure can result in recurrence.

By addressing the internal deviation, we achieved both functional improvement and lasting aesthetic balance.

Respecting Each Patient’s Unique Goals

The patient specifically requested minimal change to nasal tip height, which we honored throughout the facial asymmetry correction process.

Even with rib cartilage reconstruction, the result remained soft, natural, and proportional.

At NOSELAB, we focus on safe, personalized facial asymmetry correction that restores both appearance and function.

If you are experiencing facial asymmetry, a crooked or deviated nose, or nasal bone depression, early consultation with a qualified specialist can help prevent progression and ensure the best outcome.

Thank you for reading. – Dr. Cha-Young Kang,