Nasal Obstruction Correction after Revision Rhinoplasty: A Case Study from Nose Lab Clinic

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

Today, I would like to share a case of nasal obstruction correction after revision rhinoplasty, where the patient suffered from severe nasal obstruction, deviation, and asymmetry after multiple surgeries.

Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

Patient Goals and Surgical History – Focusing on Nasal Obstruction Correction after Revision Rhinoplasty

The patient’s primary concern was nasal obstruction correction after revision rhinoplasty, along with improving symmetry and correcting deviation.

Patient Goals:

• Correct nostril asymmetry

• Straighten the deviated nose

• Relieve nasal obstruction

Surgical History:

• 2020: Nostril reduction

• 2022: Alar base lowering

• 2023: Revision with ear cartilage, septal cartilage, and additional nostril adjustments

Pre-Surgical Analysis – Why Nasal Obstruction Correction after Revision Rhinoplasty Was Needed

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

During consultation, clinical findings confirmed the need for nasal obstruction correction after revision rhinoplasty.

Front View:

• Visible nasal deviation

• Nostril asymmetry

Nostril View:

• Columella tilted to the left

• Severe narrowing of the left nostril due to scar tissue and collapse

  
  

Surgical Plan and Procedure – Steps for Effective Nasal Obstruction Correction after Revision Rhinoplasty

The surgical plan was carefully designed to address both functional and cosmetic concerns, ensuring successful nasal obstruction correction after revision rhinoplasty.

• Lateral Osteotomy: Straightened the nasal bridge and corrected deviation.

• Septal Realignment and Extension: Used autologous rib cartilage to stabilize and slightly shift the septum.

• Left Nostril Expansion & Scar Tissue Removal:

  • Excised scar tissue blocking airflow

  • Performed Z-plasty and applied ear skin graft to restore the nostril opening

• Correction of Septal Deviation: Improved nasal airflow with septal realignment.

• Turbinate Reduction: Applied radiofrequency laser to reduce turbinate hypertrophy and enhance breathing.

Photos of Nostril Shape Before Surgery and During Suturing in Surgery

Post-Surgical Results – Achievements of Nasal Obstruction Correction after Revision Rhinoplasty

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

The post-operative outcome demonstrated the effectiveness of nasal obstruction correction after revision rhinoplasty:

• Front View: Corrected deviation, straighter nasal bridge, and more symmetrical nostrils.

• Side View: Slight elevation of the nasal tip, creating a refined and balanced profile.

• Nostril View: Improved symmetry and significant reduction of narrowing in the left nostril.

Immediately After Surgery: Frontal, Side, and Oblique Side Views

Immediately After Surgery: Nostril View Photos

Final Thoughts – Insights on Nasal Obstruction Correction after Revision Rhinoplasty

This case highlights how overly aggressive nostril reduction can complicate future surgeries. Through careful scar tissue removal, Z-plasty, and skin grafting, we achieved both functional and aesthetic improvements with precise nasal obstruction correction after revision rhinoplasty.

At Nose Lab Clinic, our priority is patient health and natural beauty, ensuring safe, tailored treatment for each individual.

👉 Nose Lab Clinic performs all surgeries using the closed rhinoplasty approach.

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