Surgery for Nasal Congestion Correction and Columella Lowering | Rhinoplasty Korea

noselab
2024년 8월 20일
3분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic.

Today, I will introduce a case of nasal congestion correction combined with columella lowering and revision rhinoplasty for a patient who had undergone two previous surgeries.

This patient had already undergone 2 previous rhinoplasty surgeries, this was her 3rd rhinoplasty.

Preoperative Design Consultation

Patient’s medical history:

July 2022 – Rhinoplasty using ear cartilage and silicone.
April 2023 – Rhinoplasty using autologous rib cartilage and silicone.

Photos before surgery

Frontal view photo before rhinoplasty surgery showing nasal deviation, asymmetry, and redness. — Frontal view

Noticeable deviation
Visible implant on the nose bridge

Side profile view

Droopy nose tip
Retracted columella
Unnatural nasolabial angle

Nostril view before rhinoplasty surgery showing columella deviation and visible nostril asymmetry. — Nostril view

Nostril asymmetry
Tilted columella

Additional findings

The patient complained about nasal congestion on the right side of the nose.
Results of the CT scan and intranasal endoscopy examination:
- Septal deviation
- Thickened inferior turbinates
- Intranasal mucosal adhesion on the right side

Endoscopic photo showing right intranasal adhesion with blue arrow marker. — Right intranasal adhesion could be observed (blue arrow)

Surgical Details – Nasal Congestion Correction

a) Autologous rib harvesting and transplant

Reconstruction and reinforcement of the insufficient areas of the nasal structure by harevsting and using the patient’s own rib cartilage.

b) Septal extension graft

Strenghtening and extension of the septal cartilage by using the autologous rib cartilage.
Through this we can heighten and increase the support structure to elevate the droopy nose tip.

c) Replacement of the nose bridge implant

Photo of the removed silicone implant from the nasal bridge. — Photo of the removed silicone implant

Removal of the existing silicone implant and replacing it with a wider implant.
Through this, we could improve the issue of the visible implant, and make the cotour more natural-looking.

d) Columella lowering

Improvement by the overall nose contour though lowering the columella appropriately.

e) Septum surgery

Straightening the deviated septum to improve the nasal congestion.

g) Mucous membrane adhesion peeling surgery

Improvement of the nasal congestion by peeling off the right intranasal mucous membrane adhesion.

h) Turbinate reduction

Reducing the size of the thickened inferior turbinates using a high-frequency laser in order to improve the nasal congestion.

Every procedure was performed through the closed rhinoplasty approach, without leaving any external scars.

Before and After surgery photos

Side profile before surgery (left), After surgery (right)

Balance improvement after raising the droopy nose tip.
A more natural nose shape achived through the columella lowering.
As the previously unnatural nasolabial angle was improved,the harmony between the lips and the nose became enhanced.

45-degree angle before surgery (left), After surgery (right)
A smoother nose shape after the deviation correction.
Better and more natural contoured implant.

Frontal view before surgery (left) and after surgery (right), showing correction of nasal deviation and improved implant visibility. — Frontal view before surgery (left), After surgery (right)

Nasal deviation correction
Great improvement for the issue of the visible implant.
An overall more harmonious appearance.

Nostril view before surgery (left) and after surgery (right), showing improved nostril asymmetry and straighter columella. — Nostrils before surgery (left), After surgery (right)

As the nostril asymmetry improved,the appearance became more balanced
Straightening of the tilted columella.

After surgery table photos

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Postoperative nostril photo showing improved symmetry after surgery. — Nostril photo after surgery.

Overview – nasal congestion improvement

This case is a good example of achieving both cosmetic and functional improvements. The patient had previously undergone two rhinoplasties, but was still dissatisfied with the results, especially with functional discomfort due to nasal congestion.

Septal extension using autologous costal cartilage played a major role in correcting the droopy nose tip and strengthening the overall structure of the nose.

In addition, replacing the bridge prosthesis solved the problem of the prosthesis being too visible.The overall balance and harmony of the tip of the nose and lips were improved through the correction of the nasolabial angle and the columella lowering. This went beyond simply changing the shape of the nose and played a significant role in improving the overall impression of the face.

What is particularly noteworthy about this surgery is the comprehensive approach to solving the nasal congestion issues. The functional problems of were improved through septoplasty, mucosal adhesion peeling surgery, and inferior turbinate reduction surgery. This is where the expertise of an otolaryngologist shines. By using a closed rhinoplasty approach, we were able to shorten the postoperative recovery period and complete the surgery without leaving a scar, which greatly contributed to increasing patient satisfaction.

I hope this case was helpful to those concerned about nasal congestion, and a droopy nose tip with an unnatural nasolabial angle.

With Noselab Rhinoplasty Clinic you can achieve a beautiful and healthy nose.

Thank you.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.