Hello, this is Dr. Cha-Young Kang, director of Nose Lab Clinic.
Today, I’ll introduce a case where a patient with a complex surgical history underwent nasal septum reconstruction to achieve both aesthetic and functional improvements. This detailed case demonstrates the importance of personalized surgical planning and expertise.
1. Surgical History
2007: Orthognathic surgery
2008: Silicone and septal cartilage rhinoplasty
2016–2018: Orthodontic treatment
2018: Alar base reduction
2020: Facial contouring surgery (three-zone)
Past procedures: Filler injections in the nose
The patient preferred a refined and glamorous aesthetic and requested no osteotomy.
2. Main Concerns and Requests
Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos
Correct a small, deviated nose
Fix nostril asymmetry
Enhance breathing function
Achieve a glamorous and balanced appearance
Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos
3. Surgical Plan
a. Autologous Rib Cartilage Septal Reconstruction
b. Columella Adjustment and Nasolabial Angle Correction
c. Septal Extension Graft
d. Removal of Residual Filler and Irregularities
Post-Foreign Object Removal Appearance
e. Functional Enhancements
4. Preoperative Analysis
a. Frontal View
High and wide nasal starting point due to residual filler.
Asymmetrical nasal bones, alar asymmetry, and a deviated bridge.
Bulbous and wide nasal tip.
b. Side View
Elevated starting point.
Retracted columella.
Protruding mouth appearance.
c. Nostril View
Nostril asymmetry caused by previous alar base reduction.
Deviated columella tilted to the right.
Crooked nasal tip shifted to the right.
5. Surgical Outcomes
a. Frontal View
Before (Left) / Immediately After (Right)
Smooth, natural nasal line after filler removal.
Corrected nasal bone asymmetry and straightened bridge.
Refined nasal tip with reduced bulbosity.
Improved alar symmetry.
b. Side View
Before (Left) / Immediately After (Right)
Naturally lowered nasal starting point.
Elevated and refined nasal tip.
Enhanced nasolabial angle, resulting in a softer facial profile.
c. Three-Quarter View
Before (Left) / Immediately After (Right)
Improved facial harmony and depth.
Balanced nasal tip projection for a sophisticated appearance.
Enhanced contouring around the mouth for a balanced profile.
d. Nostril View
Before (Left) / Immediately After (Right)
Balanced nostril size and shape.
Straightened columella, eliminating the tilt.
Symmetrically shaped alar base.
6. Specialist Insights
This case highlights the complexity of addressing structural and aesthetic issues caused by a history of multiple surgeries, including orthognathic surgery and nasal fillers. The following points were crucial for success:
Restoring Structural Integrity:The nasal septum was reconstructed using autologous rib cartilage, providing long-term stability and support.
Addressing Functional Issues:Septoplasty and turbinate reduction significantly improved the patient’s breathing.
Aesthetic Refinement:By removing residual filler and meticulously reshaping the nasal tip and bridge, we achieved the patient’s desired glamorous yet natural look.
Personalized Planning:Taking the patient’s surgical history, facial structure, and aesthetic preferences into account ensured optimal results.
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
Immediately After Surgery: Nostril View Photos
7. Closing Remarks
Revision rhinoplasty with nasal septum reconstruction is a highly technical procedure that requires a deep understanding of both functional and aesthetic principles. This case is an excellent example of how precise surgical planning and execution can deliver exceptional results in even the most complex scenarios.
If you’re facing similar challenges, consult with a qualified specialist to explore your options. At Nose Lab Clinic, we strive to deliver personalized solutions that align with your unique needs and expectations.
Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.
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