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Functional Rhinoplasty for Nasal Obstruction and Structural Correction – Filler Removal Case

  • noselab
  • 3월 1일
  • 2분 분량

최종 수정일: 9월 26일

[Nose Lab Clinic]


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


Today, I’ll share a case of functional rhinoplasty involving a patient who suffered from nasal obstruction and shape distortion due to years of filler injections. This surgery addressed both functional and aesthetic concerns through a combined approach.

Preoperative consultation images for functional rhinoplasty: frontal, left profile, and oblique views showing nasal obstruction, over-rotated tip, and asymmetry from prior filler use.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Preoperative views for functional rhinoplasty: right profile, oblique, and basal nostril angles showing over-rotated tip, nostril asymmetry, and widened nasal base.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Case Overview – Why Functional Rhinoplasty Was Needed

The patient had received dissolvable filler injections for over 10 years, which caused a distorted nasal shape and chronic nasal congestion.


Preoperative Findings and Functional Challenges

🔹 Frontal View

  • High radix (starting point of the nose)

  • Broad nasal bridge

  • Bulbous, upturned nasal tip


🔹 Side Profile

  • High starting point

  • Over-rotated tip


🔹 Nostril View

  • Nostril asymmetry

  • Wide nasal base


🔹 Functional Issues

  • Leftward deviated septum

  • Hypertrophied inferior turbinates

  • Chronic nasal obstruction

Nasal endoscopy images for functional rhinoplasty: right and left nasal cavities showing septal deviation and inferior turbinate hypertrophy.
Nasal Endoscopy Photos 1.Right Side , 2.Left Side

Patient’s Goals for Functional and Aesthetic Rhinoplasty

✔ Improve nasal breathing

✔ Eliminate the effects of past fillers

✔ Create a natural and proportional shape

✔ Stabilize the over-rotated nasal tip

✔ Correct nostril asymmetry


Surgical Plan for Functional Rhinoplasty and Structural Correction

a. Functional Improvements

  • Septoplasty to correct septal deviation

  • Radiofrequency turbinate reduction to alleviate congestion


b. Structural Corrections

  • Safe removal of filler from the bridge

  • Septal extension using septal and rib cartilage

  • Smooth dorsal line with silicone implant


c. Aesthetic Refinements

  • Cartilage grafts to reshape and stabilize the nasal tip

  • Nostril asymmetry correction

  • Lowered radix for smoother profile


Postoperative Outcomes – Functional and Cosmetic Results

Before and immediately after functional rhinoplasty: frontal view showing nasal tip stabilization, bridge refinement, and correction of nostril asymmetry.
Before (Left) / Immediately After (Right)

Frontal View

  • Balanced nasal proportions

  • Natural-looking nasal tip

  • Slimmer bridge line

Side view before and immediately after functional rhinoplasty: lowered nasal radix, refined dorsal line, and stabilized nasal tip projection.
Before (Left) / Immediately After (Right)

Side Profile

  • Lowered radix

  • Harmonious projection

Oblique view before and immediately after functional rhinoplasty: enhanced nasal contour, corrected tip rotation, and improved mid-nasal balance.
Before (Left) / Immediately After (Right)

Functionally

  • Easier nasal breathing

  • Long-term relief from obstruction

  • Structural stability achieved

Basal view before and immediately after functional rhinoplasty: correction of nostril asymmetry, improved columella support, and restored nasal base alignment.
Before (Left) / Immediately After (Right)

Expert Commentary on Functional Rhinoplasty Planning

1️⃣ Filler can complicate surgery due to soft tissue unpredictability.

2️⃣ Correcting septal deviation enhances not only breathing but surgical longevity.

3️⃣ Supporting the nasal tip is essential to prevent over-rotation and collapse.


Final Thoughts – Balanced Breathing and Aesthetics Achieved

This case shows how functional rhinoplasty can resolve both breathing and cosmetic concerns through careful planning and precise technique.

Immediately after functional rhinoplasty: frontal, side, and oblique views showing refined nasal contour, stabilized tip projection, and improved nostril symmetry.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Nostril view immediately after functional rhinoplasty: improved columella structure, nasal base alignment, and nostril symmetry.
Immediately After Surgery: Nostril View Photos












At Nose Lab Clinic, all rhinoplasty procedures are performed using the closed (endonasal) technique.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

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