Case Study: Hump Nose Revision and Asymmetry Correction – Rhinoplasty Korea

noselab
2024년 11월 21일
2분 분량

최종 수정일: 9월 26일

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

Today, I’d like to share the case of a patient who underwent hump nose revision surgery after structural issues and asymmetry developed following a previous hump nose correction. This case highlights the importance of careful planning and precision in revision rhinoplasty.

1. Patient History and Goals

The patient had hump nose correction along with deviated septum and rhinitis surgery in 2017 at another clinic. Afterward, the patient experienced an uneven nasal bridge, nostril asymmetry, and an upturned nose. The primary goal of this hump nose revision was to achieve natural and symmetrical results that would prevent further surgeries.

Pre-surgery consultation photos: frontal, left side, and oblique views before hump nose revision surgery — Pre-Surgery Consultation: Frontal View, Left Side View, and Oblique Side View Photos

2. Diagnosis and Surgical Plan

Upon examination, the following issues were identified:

Septal cartilage damage causing a tilted columella
Overcorrection at the keystone area, leading to nasal instability
Saddle nose deformity caused by prior cartilage damage

Surgical Plan for Hump Nose Revision:

Osteotomy to straighten and narrow the nose
Rib cartilage grafting on the right anterior nasal spine for stability
Septal deviation correction by shifting the septum to the right
Columella scar tissue removal to smooth the nasal tip
Keystone reconstruction to restore structural stability

Side view before (left) and immediately after (right) hump nose revision surgery, showing corrected nasal bridge and improved contour — Before (Left) / Immediately After (Right)

Oblique view before and immediately after hump nose revision surgery, highlighting smoother bridge and natural contour — Before (Left) / Immediately After (Right)

Frontal view before and immediately after hump nose revision surgery, showing improved symmetry and nasal balance — Before (Left) / Immediately After (Right)

Nostril base view before and immediately after hump nose revision surgery, showing reduced asymmetry and repositioned columella — Before (Left) / Immediately After (Right)

3. Surgical Outcomes and Patient Feedback

Front View:Nostrils appeared less exposed, and the previously uneven bridge became smoother.
Side View:The saddle nose deformity was corrected, restoring balance to the nasal bridge and creating a natural nasolabial angle. Lip protrusion also improved.

Medical illustration of saddle nose deformity with dorsum depression, a complication often requiring hump nose revision surgery — Saddle Nose Deformity Photos

Overall Contour:A sleek, natural bridge complemented the facial features.
Nostril View:Asymmetry was significantly reduced, with the columella repositioned symmetrically.

Immediately after hump nose revision surgery: frontal, oblique side, and side view photos showing corrected nasal bridge, symmetry, and improved contour — Immediately After Surgery: Frontal, Oblique Side, and Side View Photos

Immediately after hump nose revision surgery: nostril view showing improved symmetry, repositioned columella, and reduced nasal obstruction — Immediately After Surgery: Nostril View Photos

4. Key Considerations in Hump Nose Revision

Revision surgery for hump nose correction requires balancing aesthetics with nasal structure. Overcorrection can destabilize the nose, causing asymmetry, collapse, or breathing problems.

The keystone area is especially critical; it must be preserved or reconstructed for long-term stability. Augmenting with rib cartilage or implants when necessary ensures structural integrity without compromising the natural look.

5. Conclusion

Hump nose revision and asymmetry correction are complex but rewarding when approached with precision and expertise. At Nose Lab Clinic, we create tailored solutions to restore both beauty and function, ensuring natural, long-lasting results.

If you are considering revision rhinoplasty, consult experienced specialists to design a personalized treatment plan.

Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.

Nose Lab performs all surgeries using the closed rhinoplasty technique.