Post-Orthognathic Septal Reconstruction & Refined Nasal Contour – A Rhinoplasty Revision Case

noselab
2월 7일
2분 분량

최종 수정일: 9월 26일

Introduction to Post-Orthognathic Septal Reconstruction

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

Today, I’d like to introduce a Post-Orthognathic Septal Reconstruction and refinement case for a patient who underwent orthognathic (double jaw) surgery, which led to septal damage, recurrent rhinitis, and nasal asymmetry. Through a customized approach using donated rib cartilage, we successfully restored both functionality and aesthetics.

Post-Orthognathic Septal Reconstruction design consultation – frontal, left side, and oblique views showing nasal asymmetry and septal deviation before closed rhinoplasty revision. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Post-Orthognathic Septal Reconstruction design consultation – right side, oblique side, and nostril view photos showing nasal base asymmetry and septal deviation before closed rhinoplasty revision. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Surgical History

🔹 2019: Septoplasty + Ear Cartilage Graft + Silicone Implant + Functional Rhinitis Surgery

🔹 2023: Orthognathic Surgery

🔹 2024: Plate Removal Surgery

2. nitial Diagnosis After Orthognathic Surgery

Post-orthognathic septal damage
Recurrent rhinitis
Deviated septum
Asymmetric nostrils
Wide nasal base

3. Patient’s Requests

✅ Refined, sophisticated nasal contour (inspired by K-pop star Karina's nose shape)

✅ Nostril symmetry & alar base reduction

✅ Resolution of recurrent rhinitis

✅ Use of donated rib cartilage for reconstruction

4. Surgical Plan & Approach for Post-Orthognathic Septal Reconstruction

Septal Reconstruction

Reconstructed the damaged septum using donated rib cartilage after post-orthognathic nasal trauma.
Performed septal extension grafting to enhance nasal tip projection & support.
Lateral osteotomy to align the nasal bones and improve symmetry.

Functional Enhancement

Corrected the deviated septum to restore balanced nasal airflow.
Performed radiofrequency turbinate reduction (submucosal resection) to treat hypertrophic rhinitis.
Ensured long-term stabilization of nasal function.

Aesthetic Refinement

Performed alarplasty on the right side to correct congenital nostril asymmetry.
Reduced the nasal base width while maintaining natural proportions.
Created a sleek, structured "straight bridge line" that harmonizes with the patient's facial features.

5. Post-Surgery Results

Frontal View

✔ Symmetrical alar base and nostrils

✔ Slimmer nasal width

✔ Enhanced overall definition

Side View

✔ Refined "Karina-style" nose contour

✔ Smooth, sophisticated straight bridge

✔ Balanced tip projection & natural proportions

Oblique View

✔ Soft, natural nasal curvature

✔ Stable structural support

✔ Well-balanced aesthetic proportions

Post-Orthognathic Septal Reconstruction nostril view – before and immediately after closed rhinoplasty revision showing corrected nostril asymmetry and reconstructed septum — Before (Left) / Immediately After (Right)

Functional Improvements

✔ Significant relief from nasal congestion

✔ Correction of deviated septum for better breathing

✔ Long-term improvement in nasal airflow

6. Expert Insights on Post-Orthognathic Septal Reconstruction

Post-Orthognathic Septal Reconstruction – immediate post-surgery frontal, side, and oblique side views showing improved nasal contour and septal alignment after closed revision rhinoplasty — Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Post-Orthognathic Septal Reconstruction – immediate post-surgery nostril view showing septal support restoration and symmetrical nasal base after closed revision rhinoplasty — Immediately After Surgery: Nostril View Photos

This case was particularly challenging due to post-orthognathic nasal trauma and septal damage. Using donated rib cartilage, we restored the nasal framework, allowing for a structurally stable and aesthetically refined outcome.

Key points in this case:

🔹 Precise reconstruction of the compromised septum

🔹 Simultaneous correction of rhinitis & nasal obstruction

🔹 Strategic alar base reduction for improved symmetry

🔹 Seamless integration of a refined, natural nasal bridge contour

At Nose Lab Clinic, we specialize in customized, high-precision procedures that enhance both function and aesthetics.

Nose Lab Clinic performs all procedures using the closed rhinoplasty approach.