Revision Rhinoplasty After Hump Removal – A Case of Crooked Nose Correction with Rib Cartilage

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Revision Rhinoplasty After Hump Removal – A Case of Crooked Nose Correction with Rib Cartilage

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

Today, I’m sharing a case of revision rhinoplasty after hump removal, where the patient had a crooked nasal bridge, bulbous tip, and asymmetry despite two previous surgeries. Our approach aimed to improve nasal aesthetics and function while maintaining a natural profile.

Design consultation photos before revision rhinoplasty after hump removal – frontal, left side, and oblique views showing nasal deviation and bulbous tip. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

📍 Surgical Background

Initial Surgical History

20 years ago: Hump removal surgery in the U.S.
6 years ago: Septoplasty + dorsal hump correction + osteotomy

Key Deformities Identified Before Surgery

Frontal View: Crooked nasal bone, wide width, bulbous and undefined tip
Side View: Drooping tip, residual hump, blunt contour
Nasal Base: Columella deviation to the left, asymmetrical nostrils

Design consultation photos before revision rhinoplasty after hump removal – right side, oblique, and nostril view showing nasal deviation and asymmetry. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Frontal View

Crooked nasal bone
Wide nasal width
Bulbous, undefined nasal tip

2. Side Profile

Drooping nasal tip
Prominent hump
Blunt nasal contour

3. Nasal Base

Asymmetrical nostrils
Leftward deviation of columella

✨ Patient Goals

Reference photos of female celebrities used during design consultation for revision rhinoplasty after hump removal. Patient desired refined nasal bridge and elegant tip contour. — The Desired Images of the Patient

Correct the crooked bridge
Maintain a natural height, not too elevated
Achieve a slimmer nasal width

💉 Revision Rhinoplasty Plan

1. Structural Correction – Osteotomy and Rib Cartilage

Lateral osteotomy to straighten the bone
Septal extension graft using autologous rib cartilage
Dorsal height preserved to avoid over-elevation

2. Aesthetic Goals – Tip Refinement and Nasal Symmetry

Elevated, projected nasal tip for balance
Tip grafting and reshaping for a slimmer look
Nasolabial angle correction and columella realignment
Nostril symmetry improvement

3. Functional Enhancements – Septoplasty and Breathing Improvement

Septoplasty for deviated septum
Radiofrequency turbinate reduction for allergic rhinitis
Noticeable improvement in breathing quality

✅ Postoperative Results

Frontal view photos before and immediately after revision rhinoplasty for crooked nose and hump correction using rib cartilage graft. Shows improved nasal alignment and tip projection. — Before Surgery (Left) / Immediately After Surgery (Right)

Before Surgery (Left) / Immediately After Surgery (Right)

Frontal and Side View Improvements

Straighter nasal bridge and midline columella
Slimmer and more refined width
Natural dorsal profile and tip rotation

Oblique side view before and immediately after revision rhinoplasty using rib cartilage. Correction of wide nasal base, crooked bridge, and bulbous tip visible in the refined and symmetrical result. — Before Surgery (Left) / Immediately After Surgery (Right)

Nasal Base and Columella Correction

Balanced nostrils and aligned columella
Smooth nasal base with no visible asymmetry

Nostril base view before and immediately after revision rhinoplasty. Correction of nostril asymmetry, wide nasal base, and columellar deviation using autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

👨‍⚕️ Surgeon’s Perspective

Immediate post-operative frontal, lateral, and oblique views after revision rhinoplasty for correcting crooked nose and bulbous tip using rib cartilage graft. — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediate postoperative nostril view showing nostril symmetry and columella alignment after revision rhinoplasty using rib cartilage graft. — Immediately after surgery: Nostril view photos.

This case shows the importance of strategic revision after failed hump removal. By combining osteotomy, rib cartilage grafts, and nasal base reshaping, we achieved both functional and aesthetic success.

The patient desired a natural result—not over-elevated or artificial. We preserved moderate dorsal height, reshaped the tip, and corrected breathing issues.

At Nose Lab, all surgeries are performed using the closed (endonasal) approach only.