Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today we will tell the story of the surprising transformation of a patient who had decided to get reoperation for a deviated and upturned nose.
Through this case we will showcase how we can resolve complex nasal problems while obtaining highly-satisfactory results that reflect the patient’s detailed requirements.
Patient’s medical history and requirements
This patient had undergone 2 previous rhinoplasty surgeries.
2022 – 1st surgery: Ear cartilage for the nose tip, and self-rib cartilage for the nose bridge.
February 2024 – 2nd surgery: Self-rib cartilage for the nose tip, silicone for the bridge, septoplasty and foreign body removal surgery.
April 2024 – 3rd surgery: Alar lifting surgery.
Since the patient was unable to obtain satisfactory results, she visited our clinic.
Patient’s requirements
Raising the nose tip 2mm.
Removing the foreign body from the nose bridge.
Nasolabial angle correction, make the philtrum to no look long.
Lowering the nose tip, making it look longer from the front ACR (Alar Columella Relation)
Leaving a slightly visible nasal hump on the bridge and not using implants.
Make the columella look rounded from the side profile.
Lenghtening the nostrils from the side.
Correct the deviated appearance from the frontal view.
Correct the part of the columella where the cartilage is leaning outwards.
Preoperative Design Consultation
Frontal view
Wide nose tip
High nose starting point
Deviated nasal bridge
Noticeable nostril asymmetry
Overall wide nose
Side profile view
Droopy nose tip
High starting point
Observable protruding mouth
Nostrils view
The nose tip is leaning to the right side.
Nostril asymmetry
The cartilage can be observed to be leaning outwards on the right side of the columella.
Surgical plan
Taking into account the patient’s requirements and condition, we made the following surgical plan:
Nose tip reconstructive surgery usingg the self rib cartilage.
Septoplasty to improve the nasal congestion.
Inferior turbinate submucosal resection surgery using a high-frequency laser.
Nasolabial angle correction to improve the mouth protrusion and the lenght of the philtrum.
Deviation correction and improvement of the wide of the nose through a lateral osteotomy.
Nostril lowering surgery in order to correct the nostril asymmetry.
Removal of the foreign body on the nose bridge and nasal bridge reconstruction using the autologous rib cartilage.
Reinforcing the nasal alar
Improvement of teh blunt areas of the nose tip.
Before and After Surgery Photos
The previously wide nose tip became more sophisticated.
Lowering of the high nasal bridge starting point.
Correction of the deviated nose bridge.
Great improvement of the nostril asymmetry.
The wide nose became overall slimmer.
The Alar Columella Relation (ARC) improved.
The droopy nose tip was appropriately raised to look longer and more sophisticated.
Lowering the nose starting point improved the overall lenght of the nose.
Correcting the protruding mouth enhanced the overall harmony of the face.
The columella was given a softer and rounded appearance.
We gave the nose bridge a slight nose hump appearance giving an individuality direction.
The overall nose shape became more natural.
Improvement of the harmony of the nose as well as its three-dimensionality.
Straightening of the nose tip that was tilted to the right side.
Improvement of the asymmetric nostrils.
Removal of the cartilage that was leaning outwards the columella on the left side, giving the nose a cleaner image.
The rounded area above the nostril from the side view was made straight (as the patient requested).
After Surgery Table Photos
Overview
This surgery was performed matching the design to completely reflect the patient’s requirements. In cosmetic surgery, high personal satisfaction is the most important objective, therefore, at Noselab we always aim to reflect each patient’s need as much as possible.
The surgical design in this case was carefully determined by the patient’s detailed requirements and, after the surgery the patient was able to check the parts that she desired, giving her high satisfaction.
Especially, in this case, complex issues (upturned nose, deviated nose, droopy nose, nostril asymmetry, etc) were solved at the same time. However, this was successful due to the rich skill, experience, and advanced technology.
The advantage of using autologous rib cartilage for a reconstructive surgery is its safety and its long-term results mantainance. Moreover, through the closed rhinoplasty approach, it is possible to minimize the side effects and shorten the recovery period.
The improvement of the nasal congestion septal deviation correction and inferior turbinate resection is not only for cosmetic enhancement purposes, it has meaning because we are able to obtain functional improvements as well. This is the area where a ENT specialist’s expertise shines.
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