Hello, I’m Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share the case of a 31-year-old male patient who presented with a crooked nose and sunken nasal bridge. This case highlights a customized approach that effectively addressed both functional and aesthetic concerns in rhinoplasty.
1. Patient Background and Requirements
Patient Profile:
Age: 31-year-old male
Previous Surgery: Hump nose correction with septal cartilage graft (October 2017)
Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos
Main Concerns:
Correction of sunken nasal bridge
Crooked nose
Nostril asymmetry
Improvement of chronic rhinitis symptoms
Resolution of nasal obstruction
Right Oblique Side View, Side View, and Nostril View Photos
2. Surgical Plan and Approach
To meet the patient’s functional and aesthetic needs, we developed a comprehensive surgical plan:
Submucosal Reduction with Radiofrequency Laser: Targeting the inferior turbinates to improve nasal airflow and reduce rhinitis symptoms.
Septoplasty: Addressing nasal obstruction and straightening the septum.
Septal Extension with Autologous Rib Cartilage: For structural stability and correction of nasal length and tip support.
Lateral Osteotomy: Realigning the nasal bones to correct the crooked appearance.
Silicone Implant: To elevate the bridge and smooth the uneven contour.
3. Surgical Outcomes
Before (Left) / Immediately After (Right)
Side View:
The previously uneven nasal bridge now presents a smooth and even contour.
The nasolabial angle (angle between the nose and upper lip) was corrected, which improved the appearance of a slightly protruding mouth.
Before (Left) / Immediately After (Right)
Oblique View:
The bridge’s bumpy appearance was smoothed, enhancing facial harmony.
Correction of the drooping nasal tip for a balanced profile.
Before (Left) / Immediately After (Right)
Front View:
Straightened bridge alignment corrected the crooked appearance.
Improved columella position and symmetry in the nostrils.
Before (Left) / Immediately After (Right)
Nostril View:
Nostril asymmetry was significantly improved.
Right nasal tip elevation was addressed, resulting in a balanced and natural look.
Immediately After Surgery: Frontal, Side, and Oblique Side Views
Immediately After Surgery: Nostril Photos
Final Thoughts
Today’s case involved a secondary rhinoplasty with a silicone implant to address dissatisfaction with a prior no-implant approach. While implant-free surgery reduces the risk of inflammation or contraction, it may have aesthetic limitations, especially in cases requiring significant structural correction.
Correcting issues such as a crooked nose or asymmetry often requires individualized solutions. In this case, adding a silicone implant was essential to create the desired aesthetic outcome, providing structural support and contour smoothness that a no-implant approach alone could not achieve.
If you’re considering rhinoplasty, a thorough consultation with a specialized surgeon is crucial to determine the method that best suits your unique features and goals. At Nose Lab Clinic, we prioritize patient safety and satisfaction by offering customized, precise solutions for each individual.
Thank you for reading. This is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Comments