Reconstruction of a Collapsed Columella and Correction of a Drooping Nasal Tip Due to Severe Septal Damage
- noselab
- 3์ผ ์
- 3๋ถ ๋ถ๋
Hello, I'm Dr. Cha-Young Kang, the chief surgeon.
Today, I would like to share a complex case involving a patient who presented with significant nasal septum damage, leading to a collapsed columella and a drooping nasal tip.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
๐ฉบ Initial Assessment
Functional Concerns:
Chronic rhinitis symptoms
Deviated septum towards the left
Chronic sinusiti
Aesthetic Concerns:
Severely drooping nasal tip
Collapsed columella
Visibly crooked nasal appearance
Irregularities along the nasal dorsum
High starting point of the nasal bridge
Intraoperative Findings:
Extensive damage to the septal cartilage
Structural deformation due to cartilage loss
๐ฌ Patient's Goals
Elevate the drooping nasal tip
Restore the collapsed columella ("I want a beautifully defined columella")
Lower the starting point of the nasal bridge
Correct the crooked appearance of the nose
Smooth out the irregularities on the nasal dorsum
๐ ๏ธ Surgical Approach
Septal Reconstruction:
Confirmed severe septal cartilage damage during surgery
Reconstructed the nasal septum using autologous rib cartilage
Corrected the leftward deviation of the septum
Structural Enhancements:
Performed septal extension using autologous rib cartilage
Rebuilt the collapsed columella
Elevated the drooping nasal tip
Adjusted the nasolabial angle for improved profile
Aesthetic Refinements:
Refined and narrowed the bulbous nasal tip
Lowered the starting point of the nasal bridge
Smoothed out dorsal irregularities
Straightened the overall nasal alignment
Functional Corrections:
Addressed deviated septum and chronic rhinitis through concurrent functional nasal surgery
โ Postoperative Outcomes
Functional Improvements:
Alleviation of rhinitis symptoms
Prevention of sinusitis exacerbations
Enhanced nasal airflow and breathing
Before (Left) / Immediately After (Right)
Frontal View:
Corrected nasal deviation
Achieved a natural-looking nasal tip
Balanced overall facial proportions
Before (Left) / Immediately After (Right)
Lateral View:
Elevated and defined nasal tip
Restored columella with appropriate projection
Lowered nasal bridge starting point for a refined profile
Improved nasolabial angle
Enhanced harmony with the upper lip and philtrum
Before (Left) / Immediately After (Right)
Overall Transformation:
Reduced the elongated appearance of the nose
Refined the bulbous nasal tip for a more elegant contour
Smoothed the nasal dorsum for a sleek profile
Before (Left) / Immediately After (Right)
๐จโโ๏ธ Expert Commentary
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photo
This case involved a patient with chronic rhinitis and sinusitis, compounded by a drooping nasal tip and a collapsed columella.ย Intraoperative findings revealed significant septal cartilage damage, which compromised the structural integrity of the nose.
Septal cartilage plays a crucial role in maintaining the nose's structural support.ย Damage to this area can lead to both functional issues, such as breathing difficulties, and aesthetic concerns, including tip ptosis and columella collapse.
To address these challenges, we performed a comprehensive septal reconstruction using autologous rib cartilage, known for its strength and compatibility in complex nasal surgeriesย . This approach restored the nasal framework, allowing for effective elevation of the nasal tip and reconstruction of the columella.
By extending the septum and adjusting the nasolabial angle, we achieved a harmonious nasal profile.ย Lowering the starting point of the nasal bridge and smoothing dorsal irregularities further enhanced the aesthetic outcome.
Functionally, correcting the deviated septum and addressing chronic rhinitis improved the patient's breathing and overall nasal health.
This case exemplifies how addressing the root causeโsevere septal damageโcan lead to successful restoration of both form and function in complex nasal deformities.
Thank you for reading.
Dr. Cha-Young Kang
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