Revision Rhinoplasty for Crooked Nose After Hump Correction – A Real Patient Case

[Nose Lab Clinic]

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

Today, I’m sharing the story of a patient who underwent hump removal surgery 20 years ago in the U.S. and a second procedure 6 years ago. Despite previous surgeries, the patient still had a crooked nasal bridge, wide nasal base, and a droopy, bulbous tip. Our goal was to correct these issues and deliver a refined, balanced, and natural result.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

📍 Surgical History

• 20 years ago: Hump removal surgery in the U.S.

• 6 years ago: Septoplasty + dorsal hump correction + osteotomy

🔎 Initial Assessment

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

The Desired Images of the Patient

• Correct the crooked bridge

• Maintain a natural height, not too elevated

• Achieve a slimmer nasal width

💉 Surgical Plan & Procedures

1. Structural Correction

• Lateral osteotomy to straighten the nasal bones

• Septal extension graft using autologous rib cartilage

• Maintained moderate dorsal height for a natural look

2. Aesthetic Refinement

• Elevated and refined the nasal tip to narrow the nasal base

• Improved the bulbous tip using tip grafting and cartilage reshaping

• Nasolabial angle correction

• Columella straightening

• Nostril symmetry enhancement

3. Functional Improvement

• Septoplasty for a deviated septum

• Radiofrequency turbinate reduction for allergic rhinitis

• Significant improvement in nasal breathing

✅ Surgical Results

Before (Left) / Immediately After (Right)

1. Frontal View

• Straighter nasal bridge

• Refined and slimmer nasal width

• More defined tip

• Corrected columellar deviation

Before (Left) / Immediately After (Right)

2. Side Profile

• Lifted, elegant nasal tip

• Smooth dorsal line, no visible hump

• Improved nasolabial angle

Before (Left) / Immediately After (Right)

3. Nasal Base

• Balanced nostril size

• Midline columella

• Harmonious overall nasal shape

Before (Left) / Immediately After (Right)

👨‍⚕️ Surgeon’s Note

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This patient presented with residual deformities following hump removal and prior revision surgeries. Through precise lateral osteotomy, rib cartilage grafting, and careful reshaping of the nasal tip, we addressed both functional and aesthetic concerns.

The goal was to maintain natural proportions while achieving a sleek, defined look, without the exaggerated height that can make the nose look artificial. Functional breathing issues were also resolved through septal and turbinate surgery, resulting in both cosmetic satisfaction and improved quality of life.

https://blog.naver.com/cykang/223826692321