Natural Tip Refinement with Severe Septal Reconstruction in Revision Rhinoplasty Korea

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12분 전
2분 분량

Surgical Background – Why Revision Rhinoplasty Korea Was Needed

Preoperative photos for Revision Rhinoplasty Korea showing frontal and side views. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Multiple Prior Surgeries and Septal Damage

This patient presented for Revision Rhinoplasty Korea after five previous nasal surgeries performed over three decades. Severe septal collapse, thin nasal skin, and a filler-injected columella complicated the case. The patient requested a natural nasal tip, a lowered nasal root, and an overall soft and refined impression without excessive height or artificiality.

Right-side, oblique, and nostril views for Revision Rhinoplasty Korea consultation. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Restoring Structure and Natural Balance

Septal Reconstruction, Cartilage Reuse, and Radix Adjustment

Foreign Material Removal :

All columella filler was removed, and a misaligned temporal fascia graft from 10 years earlier was identified for reuse.

Septal Reconstruction Using Rib Cartilage :

Severe septal collapse was confirmed intraoperatively. Fresh autologous rib cartilage was harvested and used to rebuild the septum, restore support, and improve breathing.

Reusing Temporal Fascia :

The fascia graft was repositioned to reinforce thin skin over the tip and prevent cartilage show-through.

Natural Tip Refinement :

A soft, non-pinched nasal tip was designed to avoid artificial sharpness.

Radix Lowering :

Lowering the nasal root created better vertical balance and shortened the visual length of the nose.

Nasolabial Angle Adjustment :

The columella–lip angle was refined to produce a softer, more elegant side profile.

Surgical Outcome – Achieving Natural Tip Refinement

Before and after frontal comparison for Revision Rhinoplasty Korea. — Before Surgery (Left) / Immediately After Surgery (Right)

Side view before and after Revision Rhinoplasty Korea, immediate postoperative result. — Before Surgery (Left) / Immediately After Surgery (Right)

Tip Softness, Radix Correction, and Nostril Alignment

The postoperative result shows a soft, symmetrical nasal tip, a lowered radix for balanced vertical proportions, and improved nostril alignment. No excessive projection or sharpness was created, maintaining a natural, refined appearance.

Oblique view before and after Revision Rhinoplasty Korea, early postoperative result. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril base view before and after Revision Rhinoplasty Korea, structural changes visible. — Before Surgery (Left) / Immediately After Surgery (Right)

Expert Commentary – Principles of Revision Rhinoplasty Korea

Severely damaged septums require full reconstruction using rib cartilage for long-term durability. Reusing fascia improves skin thickness and minimizes the risk of cartilage show-through. Avoiding overcorrection is essential in complex revision cases to maintain harmony with facial proportions.

Final Thoughts

Revision Rhinoplasty Korea requires careful planning, conservative correction, and structural reinforcement to ensure both aesthetic and functional safety. In patients with multiple prior surgeries, tailored reconstruction using rib cartilage provides long-term stability and refined, natural outcomes.