Hello, this is Dr. Cha-Young Kang, director of Nose Lab Clinic.
Today, I’ll share a patient case involving nasal obstruction and a deviated nose. This example highlights the importance of balancing functional and aesthetic goals in rhinoplasty.
1. Patient History and Goals
2015: Underwent silicone implant and septoplasty
Goals:
Resolve nasal obstruction
Increase nasal tip height
Correct deviated nose
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
2. Preoperative Analysis
a. Frontal View
Deviated nose tilted to the left
Bulbous nasal tip
Excessive nostril show
b. Side View
Flattened nasal tip
Poor columella visibility between nostrils
c. Oblique View
Rounded nasal tip
Prominent mouth projection
d. Nostril View
Asymmetric nostrils
Columella deviated to the left
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
3. Surgical Plan and Procedure
a. Structural Reconstruction with Autologous Rib Cartilage
Restored damaged septal cartilage from previous surgery
Enhanced nasal tip support
Corrected asymmetric nasal framework
b. Septal Extension Graft
Straightened deviated nasal tip
Refined bulbous nasal tip
Aligned nostril asymmetry
c. Functional Improvements
Corrected septal deviation
Reduced hypertrophic turbinates to improve nasal airflow
4. Postoperative Results
a. Frontal View Improvements
Before (Left) / Immediately After (Right)
Straightened nasal bridge
Sharper and more defined nasal tip
Symmetry in nostrils and nasal base
b. Side View Improvements
Before (Left) / Immediately After (Right)
Naturally elevated nasal tip height
Enhanced columella projection
Balanced and refined profile line
c. Oblique View Improvements
Before (Left) / Immediately After (Right)
Masculine and sharp nasal dorsum
Reduced mouth projection for a more balanced look
d. Nostril View Improvements
Before (Left) / Immediately After (Right)
Enhanced symmetry in nostrils
Corrected columella deviation
Improved overall nasal base harmony
e. Functional Improvements
Resolved septal deviation
Expanded nasal airway by reducing turbinate size
Significant improvement in nasal breathing
5. Specialist Insights
This case exemplifies the importance of addressing both aesthetic concerns and functional needs in rhinoplasty:
Autologous rib cartilage provided the structural stability necessary for long-term results.
The combination of septal extension grafts and nostril realignment techniques achieved a natural and refined appearance.
Functional enhancements, including septoplasty and turbinate reduction, significantly improved the patient’s quality of life by resolving nasal obstruction.
Balancing functional and aesthetic outcomes is essential to achieving patient satisfaction and long-term success.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
6. Closing Remarks
At Nose Lab Clinic, we pride ourselves on delivering personalized solutions tailored to each patient’s unique anatomy and goals. For those with similar concerns about nasal deviation, obstruction, or aesthetic refinement, we hope this case provides insight into the transformative potential of tailored rhinoplasty.
Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.
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