Revision Rhinoplasty for Nasal Asymmetry and Nostril Correction: A Return to Natural Elegance

noselab
2024년 11월 5일
2분 분량

최종 수정일: 8월 28일

1. Patient Background and Surgical History in Revision Rhinoplasty for Nasal Asymmetry

This case focuses on a Revision Rhinoplasty for Nasal Asymmetry in a male patient in his 30s. He previously underwent multiple surgeries that left him with visible nostril asymmetry and columella retraction. His main goals were to correct the asymmetry, refine the nostril shape, and restore a natural appearance.

Surgical History:

8 years ago: Nostril reduction, silicone implant, and cartilage grafts
6 years ago: Revision with silicone and donor rib cartilage
5 years ago: Another revision with silicone and donor rib cartilage due to dissatisfaction

Planned Revision Rhinoplasty for Nasal Asymmetry:

Correct asymmetry
Replace misaligned implant
Improve nostril balance and columella positioning
Adjust nasolabial angle
Enhance tip support with cartilage grafts

Preoperative design consultation photos for Revision Rhinoplasty for Nasal Asymmetry – frontal view, left oblique side view, and left side view showing nostril imbalance and deviation. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

2. Pre-Surgical Analysis in Revision Rhinoplasty for Nasal Asymmetry

Front View: Distinctive tip with nasal asymmetry and nostril imbalance. The left nostril was pinched, and the columella appeared retracted.
Side View: Columella retraction with a nasolabial angle less than 90 degrees.
Nostril View: Right nostril was visibly smaller, with scarring from prior nostril reduction surgery.

Preoperative consultation photos for Revision Rhinoplasty for Nasal Asymmetry – right side view, right oblique side view, and nostril view highlighting columella retraction and nostril imbalance — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

3. Surgical Plan for Revision Rhinoplasty for Nasal Asymmetry

To achieve the goals of this Revision Rhinoplasty for Nasal Asymmetry, we performed:

Septal Reconstruction with Autologous Rib Cartilage: Shifted septum slightly left to restore balance.
Alar Cartilage Adjustment: Improved tip support and refined contour.
Implant Replacement: Removed misaligned implant and centered a new one.
Columella and Nostril Refinement: Repositioned the columella and adjusted nostrils to reduce asymmetry.
Nasolabial Angle Adjustment: Restored to around 90° for balanced aesthetics.

4. Surgical Results of Revision Rhinoplasty for Nasal Asymmetry

Before and immediately after Revision Rhinoplasty for Nasal Asymmetry and Nostril Correction – frontal view comparison showing improved nasal balance and reduced nostril asymmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Front View: Nostril exposure reduced by over 50%, improved symmetry, and a straighter bridge.

Before and immediately after Revision Rhinoplasty for Nasal Asymmetry and Nostril Correction – side view comparison showing improved nasal bridge alignment, lifted tip, and reduced columella retraction. — Before Surgery (Left) / Immediately After Surgery (Right)

Side View: Columella repositioned naturally, with the nasolabial angle corrected to ~90°, reducing upper lip protrusion.

efore and immediately after Revision Rhinoplasty for Nasal Asymmetry and Nostril Correction – oblique side view comparison showing straighter nasal bridge, improved nostril balance, and refined columella position. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View: Septal adjustment created better balance between right and left nostrils.

Before and immediately after Revision Rhinoplasty for Nasal Asymmetry and Nostril Correction – nostril view comparison showing improved nostril symmetry, reduced columella retraction, and corrected pinched appearance. — Before Surgery (Left) / Immediately After Surgery (Right)

5. Final Thoughts on Revision Rhinoplasty for Nasal Asymmetry

This Revision Rhinoplasty for Nasal Asymmetry demonstrates how overly aggressive nostril reduction can cause long-term challenges. By focusing on balance and structural reconstruction, we achieved both functional and aesthetic improvements.

At Nose Lab Clinic, we prioritize safe and natural results tailored to each patient’s unique anatomy. For lasting satisfaction, it’s essential to choose a customized approach to Revision Rhinoplasty for Nasal Asymmetry.

👉 Nose Lab Clinic performs all procedures through closed rhinoplasty techniques.