Revision Rhinoplasty for Nostril Asymmetry and Nasal Obstruction

noselab
2024년 10월 31일
2분 분량

최종 수정일: 8월 29일

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

Today, I’ll share the case of a patient who came to us with concerns about nostril asymmetry and nasal obstruction, requiring a carefully planned revision rhinoplasty for nostril asymmetry. In this patient’s case, previous surgeries had caused internal nasal adhesions, which led to severe nasal blockage.

1. Surgical History and Goals in Revision Rhinoplasty for Nostril Asymmetry

Surgical History:

2021: Ear cartilage and filler injections
2022: Septal cartilage, autologous rib cartilage, and Gore-Tex implant
October 2022: Philtrum reduction
2023: Augmentation surgery

Patient’s Goals:

Address nasal obstruction on both sides
Correct nostril asymmetry
Reduce nostril visibility
Achieve a natural, refined nasal appearance

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

Pre-surgery consultation photos of a female patient: frontal view, left side view, and left oblique side view before revision rhinoplasty. — Design consultation photos: Frontal view, left side view, and oblique side view.

Front View: Tip deviated to the left with noticeable asymmetry in nostril shape and visibility.
Side View: Drooping tip, dorsal hump, high starting bridge point, and wide nasolabial angle.

Pre-surgery consultation photos of a female patient: right oblique side view, right side view, and nostril view before revision rhinoplasty. — Design consultation photos: Right oblique side view, right side view, and nostril view.

Nostril View: Columella deviated slightly right, left nostril smaller and longer.

CT & endoscopy confirmed deviated septum and mucosal adhesions.

Endoscopic view showing mucosal adhesion between the nasal septum and inferior turbinate (indicated by blue arrows). — Mucosal Adhesion Between the Nasal Septum and Inferior Turbinate (Arrow)

3. urgical Plan – Revision Rhinoplasty for Nostril Asymmetry and Function

Septal Extension with Autologous Rib Cartilage: Stabilize and refine nasal tip.
Septal Reconstruction: Shift septum to the right for improved airflow.
Nostril Lengthening: Reposition and reinforce alar cartilage to correct asymmetry.
Replacement of Gore-Tex with Silicone: Natural alignment with lower starting bridge.
Alar Cartilage Suturing: Refine tip shape.
Nasolabial Angle Adjustment: Correct angle for balance.
Removed Gore-Tex Implant

4. Post-Surgical Results

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

Side View:

Drooping tip corrected, dorsal hump removed, balanced angle.

Oblique View:

Bridge aligned with pupil line, natural harmony achieved.

Frontal view comparison before (left) and immediately after surgery (right), showing improved nasal tip alignment and nostril balance. — Before Surgery (Left) / Immediately After Surgery (Right)

Front View:

Nostril visibility reduced by more than half, asymmetry corrected.

Nostril View:

Septal reconstruction corrected nostril asymmetry, columella aligned.

5. Conclusion

Frontal, Oblique Side, and Side Photos Immediately After Surgery

Nostril view immediately after closed rhinoplasty, showing improved symmetry and refined nasal base. — Nostril View Immediately After Surgery

This case shows that revision rhinoplasty for nostril asymmetry requires both functional and aesthetic correction. Choosing an experienced team is crucial, especially for cases involving nasal obstruction and septal reconstruction.

At Nose Lab Clinic, we are committed to achieving safe, natural, and balanced results for patients with nostril asymmetry.

All surgeries at Nose Lab Clinic are performed using a closed approach.