Case at a glance
- Surgical plan
- Septal Reconstruction, Cartilage Reuse, and Radix Adjustment
- All columella filler was removed, and a misaligned temporal fascia graft from 10 years earlier was identified for reuse.
- Severe septal collapse was confirmed intraoperatively. Fresh autologous rib cartilage was harvested and used to rebuild the septum, restore support, and improve breathing.
- Graft & material details
- Photo timing
These details are excerpts from the original article and captions. Follow a detail to read it in context.
Surgical Background – Why Revision Rhinoplasty Korea Was Needed
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.
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
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.
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.
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