Nose Filler Removal and Revision Rhinoplasty for Widened Nose and Sinusitis Correction

Patient’s History – Long-Term Concerns in Nose Filler Removal and Revision Rhinoplasty

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

Today, I will share a case of a patient who struggled for 10 years with a widened nose from filler, a drooping nasal tip, and chronic sinusitis, and finally decided to undergo Nose Filler Removal and Revision Rhinoplasty.

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

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

Treatment History

• 5 years ago – Nose filler injection (never dissolved)

Current Symptoms

• Nasal congestion, frequent nasal discharge

• Diagnosed with sinusitis 1 year ago

• Tried medication for 1 month at an ENT clinic

Patient’s Requests

• Remove widened filler & restore natural shape

• Refine dorsal hump (hump removal)

• Shorten long-nose appearance while maintaining height

• Achieve balanced, natural results

Surgical Plan for Nose Filler Removal and Revision Rhinoplasty

✅ Step 1: Safe Removal & Refinement

• Carefully remove residual filler

• Smooth and refine dorsal hump

✅ Step 2: Structural & Proportional Adjustments

• Shorten nasal length by adjusting starting point & tip position

• Straighten and refine the nasal bridge

• Septoplasty to correct deviated septum

✅ Step 3: Functional Correction

• Septal deviation correction for improved airflow

• Turbinate reduction to relieve nasal obstruction

• Sinus expansion to prevent recurrent sinusitis

Surgical Execution & Key Adjustments

a. Safe Removal & Refinement

• Dissolved and removed the old filler safely

• Mild hump reduction preserved a natural slope

b. Structural Adjustments

• Reduced long-nose effect by lowering the starting point and elevating the tip

• Corrected deviated septum for a straighter nasal framework

c. Functional Improvement

• Septoplasty opened the airways for better breathing

• Turbinate reduction created a balanced nasal cavity

• Sinus expansion expected to prevent recurrence

Post-Surgical Results of Nose Filler Removal and Revision Rhinoplasty

Before (Left) / Immediately After (Right)

Frontal View

• Narrowed nasal bridge width – no more widened filler effect

• Balanced nostril proportions

Before (Left) / Immediately After (Right)

Side Profile

• Smooth nasal bridge with a gentle slope

• Corrected long-nose effect – proportionate to the face

• Tip elevation for a youthful appearance

Before (Left) / Immediately After (Right)

Functional Benefits

• Improved nasal breathing

• Reduced nasal discharge

• Lower likelihood of sinusitis recurrence

Before (Left) / Immediately After (Right)

Expert Insights – Importance of Combining Nose Filler Removal and Revision Rhinoplasty

Key Considerations When Removing Nose Filler

1. Long-term filler can distort nasal structure – careful dissolution is essential.

2. Residual filler must be completely removed to avoid irregularities.

3. Maintaining nasal height post-removal requires proper structural support.

   
   

Balancing Function & Aesthetics

• Many cases of nasal congestion and sinusitis are linked to structural issues like septal deviation.

• Correcting both function and form ensures long-term stability and natural beauty

Final Thoughts & Patient Advice

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

Immediately After Surgery: Nostril View Photos

For those considering Nose Filler Removal and Revision Rhinoplasty:

• Prolonged fillers can cause nasal widening and asymmetry.

• If nasal function is compromised, consider a combined functional and aesthetic approach.

• Work with an experienced specialist for safe, predictable results.

At Nose Lab Clinic, We Prioritize:

• Safe, precise filler removal

• Customized reshaping for natural proportions

• Long-term functional improvement

All surgeries at Nose Lab Clinic are performed using the closed approach.

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