Case Study: Long Nose Correction and Wide Nasal Bridge – Revision Rhinoplasty in Korea

noselab
2024년 11월 26일
2분 분량

최종 수정일: 8월 25일

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

Today, I’ll share the story of a patient who sought long nose correction and revision rhinoplasty to address a wide nasal bridge and related functional issues. This case highlights the importance of balancing aesthetic and functional goals for a harmonious outcome.

Patient’s Surgical and Procedural History

19 years ago: Nasal filler (later dissolved completely)
20 years ago: Ear cartilage graft + hump nose correction + no implant rhinoplasty
10 years ago: Nasal tip surgery (using septal cartilage)

Design consultation photos: frontal, left oblique, and side view before long nose correction surgery — Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

Key Symptoms Before Long Nose Correction

Scar tissue in the left nasal mucosa causing mucus retention
Seasonal nasal congestion
Deviated nose
Flat and wide nasal bridge

Design consultation photos: right oblique, side, and nostril view before long nose correction surgery — Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

Preoperative Analysis

Front View

Flat and wide nasal bridge
Deviated nasal alignment
Thin and under-projected nasal tip
Asymmetry in the nostrils

Side View

Overall elongated nose, requiring long nose correction
Drooping nasal tip
Subtle, pointed tip appearance

Nasal Base View

Larger right nostril causing asymmetry
Flared and wide nasal base

Surgical Plan for Long Nose Correction

Surgical scene during long nose correction rhinoplasty using autologous rib cartilage — Surgical Scene

Aesthetic Goals

Narrow and sculpt the wide nasal bridge through lateral osteotomy
Add structure and support using autologous rib cartilage grafts
Perform alar base lowering for balance and symmetry

Functional Goals

Correct septal deviation for improved airflow
Use radiofrequency turbinate reduction to alleviate chronic congestion

Patient’s Preferences

The patient initially considered a no-implant approach but decided on implant-based augmentation for a more refined result

Surgical Results After Long Nose Correction

Frontal view before (left) and immediately after (right) long nose correction surgery — Before (Left) / Immediately After (Right)

Front View Improvements

Enhanced projection and definition of the nasal bridge
Straightened nasal alignment
Improved nasal symmetry
Natural and balanced tip contours

Side view before (left) and immediately after (right) long nose correction surgery — Before (Left) / Immediately After (Right)

Side View Enhancements

Proportionately shortened nose following long nose correction
Lifted drooping tip for a harmonious profile
Smooth and natural tip contour

Oblique view before (left) and immediately after (right) long nose correction surgery — Before (Left) / Immediately After (Right)

Nasal Base Adjustments

Reduced right nostril size for symmetry
Balanced and aligned alar base

Nasal base view before (left) and immediately after (right) long nose correction surgery — Before (Left) / Immediately After (Right)

Final Thoughts on Long Nose Correction

Immediately after long nose correction surgery: frontal, oblique, and side view photos — Immediately After Surgery: Frontal, Side, and Oblique Side Views

Immediately after long nose correction surgery: nostril view photo — Immediately After Surgery: Nostril View

This surgery successfully addressed both aesthetic and functional concerns. By combining structural corrections with functional improvements, the patient achieved a refined yet natural-looking nose that complemented their facial features.

Key elements included: