Case Study: Nasal Septum Reconstruction in Revision Rhinoplasty – Korea

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

Today, I’ll introduce a case where a patient with a complex surgical history underwent nasal septum reconstruction to achieve both aesthetic and functional improvements. This case demonstrates the importance of personalized surgical planning and expertise in revision rhinoplasty.

Patient’s Surgical History and Concerns

• 2007: Orthognathic surgery

• 2008: Silicone and septal cartilage rhinoplasty

• 2016–2018: Orthodontic treatment

• 2018: Alar base reduction

• 2020: Facial contouring surgery (three-zone)

• Past procedures: Filler injections in the nose

The patient preferred a refined and glamorous aesthetic and requested no osteotomy.

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

Main Concerns:

• Correct a small, deviated nose

• Fix nostril asymmetry

• Enhance breathing function

• Achieve a glamorous and balanced appearance

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

Surgical Plan for Nasal Septum Reconstruction

a. Autologous rib cartilage nasal septum reconstruction

b. Columella adjustment and nasolabial angle correction

c. Septal extension graft

d. Removal of residual filler and irregularities

e. Functional enhancements for breathing

Post-Foreign Object Removal Appearance

Preoperative Analysis

Frontal View: High and wide nasal starting point due to filler, asymmetrical bones, deviated bridge, and bulbous tip.

Side View: Elevated starting point, retracted columella, and protruding mouth profile.

Nostril View: Asymmetry from prior alar base reduction, deviated columella tilted to the right, crooked nasal tip.

Surgical Outcomes After Nasal Septum Reconstruction

Before (Left) / Immediately After (Right)

Frontal View

• Smooth, natural nasal line after filler removal

• Corrected bone asymmetry and straightened bridge

• Refined nasal tip with reduced bulbosity

• Improved alar symmetry

Before (Left) / Immediately After (Right)

Side View

• Naturally lowered nasal starting point

• Elevated, refined nasal tip

• Enhanced nasolabial angle for softer profile

Before (Left) / Immediately After (Right)

Three-Quarter View

• Improved harmony and depth

• Balanced tip projection with sophisticated contour

• Enhanced perioral balance

Before (Left) / Immediately After (Right)

Nostril View

• Balanced nostril size and shape

• Straightened columella

• Symmetrical alar base

Specialist Insights on Nasal Septum Reconstruction

This case highlights the complexity of addressing structural and aesthetic issues after multiple prior surgeries.

• Restoring Structural Integrity: Autologous rib cartilage provided long-term stability through precise nasal septum reconstruction.

• Addressing Functional Issues: Septoplasty and turbinate reduction improved breathing.

• Aesthetic Refinement: Residual filler removal and nasal tip reshaping achieved the glamorous yet natural look.

• Personalized Planning: Considering surgical history and patient’s preferences ensured optimal results.

Immediately After Surgery: Frontal, Oblique Side, and Side View Photos

Immediately After Surgery: Nostril View Photos

Closing Remarks

evision rhinoplasty with nasal septum reconstruction is a highly technical procedure that requires expertise in both functional and aesthetic principles. This case shows how careful planning and execution can deliver exceptional results in even the most complex scenarios.

If you’re facing similar challenges, consult with a qualified specialist. At Nose Lab Clinic, we deliver customized solutions tailored to each patient.

Thank you for reading.

This is Dr. Cha-Young Kang from Nose Lab Clinic.

Messenger(WhatsApp) : +82 1057360302

Home page : www.noselab.co.kr

Instagram : noselab_global

YouTube : Noselab

Email : noselab@naver.com