Hello, this is Dr. Cha-Young Kang, director of Nose Lab Clinic.
Today, I’ll share the story of a patient who struggled with nasal congestion and a low nasal bridge. This case highlights the importance of careful material selection for achieving natural-looking nasal tip refinement and functional improvement.
1. Key Symptoms and Patient Requests
Nasal congestion on the left side, particularly severe at night
Temporary relief with decongestants
Desire for improvement of a bulbous nasal tip
Interest in lowering the columella
Correction of the nasolabial angle
Prioritization of functional improvement
Preference for retaining nasal hump
No implant preferred, if possible
2. Preoperative Analysis
a. Frontal View
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Low and flat nasal bridge
Bulbous and asymmetric nasal tip
Deviated nasal bridge
Asymmetric nostrils
b. Side View
Uneven nasal bridge contour
Low radix (nasal starting point)
Overall low nasal projection
Noticeable protruding mouth
c. Oblique View
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
Flat nasal bridge exacerbated by prominent brow ridges
Lack of definition along the nasal profile
Emphasized mouth projection
d. Nostril View
Flared nostrils
Overall asymmetry
3. Surgical Outcomes
a. Frontal View Improvements
Before (Left) / Immediately After (Right)
Defined and elevated nasal bridge, adding facial balance
Corrected bulbous and asymmetric nasal tip
Straightened nasal bridge
Improved symmetry of nostrils
b. Side View Improvements
Before (Left) / Immediately After (Right)
Natural height achieved at the nasal starting point
Nasolabial angle adjusted for better harmony
Masculine and linear nasal contour achieved
c. Oblique View Improvements
Before (Left) / Immediately After (Right)
Softer nasal tip appearance with balanced projection
Gradual and natural elevation of the radix
Better proportion achieved, reducing emphasis on mouth projection
d. Nostril View Improvements
Before (Left) / Immediately After (Right)
Reduction in flared nostrils
Enhanced nasal tip definition
Improved nostril symmetry
e. Functional Improvements
Correction of septal deviation
Reduced size of hypertrophic turbinates, relieving nasal obstruction
Expected improvement in breathing function
4. Specialist Insights
This case demonstrates the successful use of septal cartilage and auricular cartilage for achieving both aesthetic and functional goals. Material selection plays a pivotal role in ensuring long-term stability and natural outcomes:
Septal cartilage is ideal when robust and straight but may require supplementation.
Auricular cartilage is valuable for additional support, particularly for shaping the nasal tip.
Alternatives such as donor rib cartilage or autologous rib cartilage are options for cases requiring more substantial reconstruction.
By aligning material selection with the patient’s unique anatomy and preferences, we minimized the risk of complications and ensured a stable, natural outcome.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
5. Closing Remarks
This case underscores the importance of personalized surgical planning in achieving functional and aesthetic success. Material selection, precise techniques, and a clear understanding of the patient’s needs are key factors in long-lasting results.
For those considering rhinoplasty for similar concerns, I hope this case offers insight and encouragement. At Nose Lab Clinic, we are committed to providing customized solutions that prioritize both health and beauty.
Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.
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