Refining Nostril Asymmetry and Drooping Tip โ A Subtle and Natural Revision Rhinoplasty Case
- noselab
- 5์ผ ์
- 2๋ถ ๋ถ๋
Hello, this is Dr. Cha-Young Kang, Director of NOSELAB Clinic.
Today, Iโd like to share a case of revision rhinoplasty for a patient who struggled with nostril asymmetry and a drooping nasal tip, while hoping to preserve her natural appearance.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
๐ Surgical History
10 years ago: Hiko thread lift
7 years ago: โPearl noseโ procedure (silicone at nasal tip)
6 years ago: Silicone removal surgery
1 year ago: Filler injection (not dissolved)
๐ Initial Assessment
Congenital nostril asymmetry
Drooping nasal tip
Residual trace of silicone that had shifted to the right
Undissolved filler still present
โจ Patient Goals
Improve noticeable nostril asymmetry (top priority)
Correct the drooping nasal tip
Maintain a natural shape (no sharp or exaggerated look)
Avoid significant changes to overall facial image
Preferred not to use autologous rib cartilage
๐ Surgical Plan
Structural Reconstruction
Septal extension using donated rib cartilage and the patientโs own septal cartilage
Combination approach chosen to reduce potential resorption and shape distortion from donated cartilage
Complete removal of residual filler and foreign material
Nasolabial angle correction for better profile balance
Aesthetic Refinement
Correction of nostril asymmetry within the limits of congenital alar base differences
Lifting of the drooping tip
Natural nasal contouring
Harmonization with overall facial features
โ Surgical Results
Before (Left) / Immediately After (Right)
Frontal View
Naturally improved nostril symmetry
Balanced nasal contour
Proportionate nose size
Soft, natural appearance overall
Before (Left) / Immediately After (Right)
Side View
Improved tip projection
Appropriately elevated nasal height
Natural nasolabial angle
Refined, rounded nasal tipโno harsh angles
Before (Left) / Immediately After (Right)
Nostril View
Symmetry enhanced within congenital limitations
Harmonized nostril shape
Stable and supportive nasal structure
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 combination of structural and aesthetic concerns, including previous non-surgical procedures and congenital nasal asymmetry. The patientโs primary concern was the visibly uneven nostrils, which were partly congenital and therefore not completely correctableโbut we focused on achieving the most natural-looking improvement possible.
Given her smaller nose structure, we carefully avoided over-elevating the tip while still addressing the droop effectively. Although the patient preferred not to use her own rib cartilage, we created a stable foundation by combining donated rib cartilage with her septal cartilage. This hybrid approach minimized the risk of warping or resorption typically associated with donated cartilage alone.
We also removed all residual filler and traces of previous silicone, and refined the nasolabial angle to improve side profile harmony. Importantly, we ensured her overall appearance remained familiarโhonoring her request to preserve her current image while subtly correcting problem areas.
This case illustrates how tailored revision surgery, even within structural limitations like congenital nostril asymmetry, can deliver a naturally beautiful and balanced result.
Thank you for reading.
This has been Dr. Cha-Young Kang from NOSELAB Clinic.
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