Revision Surgery for a Recurring Dorsal Hump After 17 Years

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

Today, I’d like to share a case of a patient who underwent revision rhinoplasty 17 years after initial dorsal hump correction. The patient presented with a recurring hump and significant nostril exposure that affected both aesthetics and facial harmony.

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

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

📍 Surgical History

• 17 years ago: Hump reduction surgery

• 10 years ago: Nasal filler injection (dissolved on the same day)

🔎 Initial Assessment

Frontal View

• Broad and flat nasal bridge

• Deviated nasal axis

• Excessive nostril exposure

Side View

• Drooping nasal tip

• Residual dorsal hump

• Sharp nasolabial angle

• Elongated appearance of the philtrum

Nostril View

• Asymmetric nostrils

• Deviated columella (leaning to the right)

✨ Patient’s Goals

• Reduce visible nostril exposure

• Subtly enhance nasal height

• Achieve a result in harmony with overall facial features

💉 Surgical Plan

Structural Corrections

• Septal extension using autologous cartilage

• Complete removal of residual filler

• Nasolabial angle refinement

Aesthetic Refinements

• Lowering of the nasal tip to reduce nostril show

• Correction of the nasolabial angle and shortening the appearance of the philtrum

• Refinement of nasal height for balanced projection

• Lateral osteotomy to correct nasal deviation

• Reduction of residual dorsal hump

✅ Postoperative Outcomes

Before (Left) / Immediately After (Right)

Frontal View

• Straightened nasal bridge

• Reduced nostril exposure

• Harmonized nasal proportions

• More refined and natural overall appearance

Before (Left) / Immediately After (Right)

Side View

• Softly elevated nasal dorsum

• Improved nasolabial angle

• Shortened philtrum impression

• Smoother nasal profile

Before (Left) / Immediately After (Right)

Nostril View

• Corrected asymmetry

• Aligned columella

• Balanced nostril shape

Before (Left) / Immediately After (Right)

👨‍⚕️ Expert Commentary

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

Immediately After Surgery: Nostril View Photo

This patient presented a combination of aesthetic challenges stemming from a dorsal hump correction performed 17 years ago and a nasal filler procedure done 10 years ago. The primary concerns included a flattened and deviated nasal bridge, excessive nostril exposure from the front, and a drooping nasal tip with a large nasolabial angle from the side.

The priority in this revision surgery was to reduce the nostril exposure and establish a nasal height that harmonized with the rest of the facial features. We repositioned the nasal tip downward to conceal the nostrils more effectively and utilized autologous rib cartilage for septal extension, ensuring long-term structural stability.

Additionally, we performed lateral osteotomy to address the deviated nasal bridge and removed residual filler material to restore a clean anatomical foundation.

The result is a naturally refined nose that enhances facial balance. The adjustments brought symmetry to the nostrils and softened the nose’s frontal and side profiles without creating an artificial look. The patient’s request for a "harmonious and natural" enhancement was met through a meticulous, proportion-conscious approach.

Thank you for reading.

This has been Dr. Cha-Young Kang from NOSELAB Clinic.

https://blog.naver.com/cykang/223854959466