Revision Rhinoplasty to Correct Dorsal Hump and Nostril Exposure After 17 Years

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5월 12일
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Patient Case Overview – Revision Rhinoplasty for Nostril Exposure and Dorsal Hump

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

In this blog post, I’m sharing a complex revision rhinoplasty case for a patient who suffered from a recurring dorsal hump and nostril exposure 17 years after their primary nasal surgery.

Preoperative Analysis: Frontal, Side, and Nostril Views

Frontal View

Broad, flat nasal bridge
Deviated nasal axis
Excessive nostril exposure

Side View

Drooping nasal tip
Residual dorsal hump
Sharp nasolabial angle
Elongated philtrum

Nostril View

Asymmetrical nostrils
Deviated columella leaning to the right

Right side, oblique view, and nostril exposure before revision rhinoplasty – showing nasal tip drooping, residual dorsal hump, and wide nostrils — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Patient’s Goals for Revision Rhinoplasty

The patient hoped to:

Minimize visible nostril exposure from the front
Improve projection without excessive height
Achieve a balanced, natural nasal shape in harmony with facial features

Surgical Plan for Revision Rhinoplasty and Dorsal Hump Removal

This revision rhinoplasty involved both structural and aesthetic reconstruction:

Structural Corrections

Septal extension with autologous rib cartilage
Complete removal of old filler materials
Nasolabial angle refinement and philtrum shortening
Lateral osteotomy to correct nasal deviation
Precise removal of residual dorsal hump

Aesthetic Refinements

Downward repositioning of the nasal tip to conceal nostril exposure
Harmonization of nasal height and midface volume

Surgical Results After Revision Rhinoplasty

Frontal View

Straighter and more symmetrical nasal bridge
Reduced nostril visibility

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

Side View

Smooth and refined dorsal line
Natural nasal tip projection
Improved nasolabial angle
Shortened philtrum

ight oblique view before revision rhinoplasty (left) and immediately after surgery (right) – nasal tip refined and nostril exposure corrected. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View

Better symmetry
Aligned columella
Evenly shaped nostrils

Nostril base view before revision rhinoplasty (left) and immediately after surgery (right) – nostril exposure corrected and columella projection improved. — Before Surgery (Left) / Immediately After Surgery (Right)

Expert Commentary: Long-Term Dorsal Hump Recurrence and Nostril Exposure

Postoperative results immediately after surgery – frontal, side, and oblique views showing corrected nasal tip, dorsal line, and nostril symmetry — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediate postoperative nostril view showing corrected symmetry and exposure after revision rhinoplasty — Immediately after surgery: Nostril view photos.

This case highlights the importance of customized revision rhinoplasty in addressing long-standing complications.

The patient previously underwent hump removal 17 years ago and a filler injection 10 years ago, which weakened structural support and led to nostril exposure and asymmetry.

We used autologous rib cartilage to create a solid framework and performed detailed osteotomy to realign the dorsal hump and correct the nasal axis. Repositioning the nasal tip played a key role in reducing frontal nostril visibility.

Through a highly tailored, anatomy-respecting approach, we achieved long-term stability and natural improvement.