Closed rhinoplasty_Korea Bulbous nose + curved nose + wide nose + retracted columella (donated rib cartilage)
This is the person who visited my clinic to correct the bulbous and wide tip of the nose and the flat and curved bridge of the nose.
This is a lateral view when I had a design consultation before surgery. I planned to improve the feeling that the nasolabial angle is smaller than 90 degrees and the mouth is protruding out. I decided to make the starting point of the silicone implant as natural as the pupil line.
When I looked at the front, there was a part where the distance between the eyes seemed slightly distant, and the width of the nose was a little wider than this, so I planned surgery to reduce the bottom of the nose to correct the spread, and the nose bone was wide and asymmetrical, so I planned a lateral osteotomy to correct the flat and curved appearance.
The nostrils showed congenital asymmetry, and the left nostrils were slightly larger and slightly outward, so I planned to rearrange the alar cartilage of the nose tip and reduce the bottom of the nose.
Surgical findings
The patient also complained of intermittent nasal congestion, and CT and nasal endoscopy taken at our clinic showed mild septal deviation to the left, and I planned rhinitis surgery and simple septoplasty. The septal cartilage identified in the operating room was more curved than the CT observed, and the cartilage was very thin and small, so the absolute size was insufficient for the tip-plasty, so I used the donated rib cartilage agreed before the surgery along with the septal cartilage at the tip of the nose. The space inside the nose was also greatly widened, and the surgery proceeded well in the direction as planned overall.
It's a picture right after the surgery. In terms of the preoperative aspect, the bulbous appearance improved a lot, and the columella naturally came down, and the nasolabial angle was corrected to a pretty 95 degrees.
As the starting point of the implant was aligned to the pupil line, the feeling of the brow became very natural and the overall line became a straight line.
The bulbous at the tip of the nose also improved a lot, and the width of the bottom of the nose was corrected a lot.
Even the areas where there was a slight congenital asymmetry of the nostrils were corrected so well that they were not noticeable, and the shape of the nostrils became very natural.
A general review
The patient above was a relatively simple operation to correct the bulbous and the crooked nose. The patient's skin was a little thick, so I paid a lot of attention to reducing the thickness of the skin, and eventually, for bulbous nose correction, I made it into a straight line with a three-dimensional effect and made it into a straight line, resulting in good results immediately after the operation. If you thoroughly manage the scar tissue for up to six months after the operation, you will get good results.
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