[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share a case where autologous rib cartilage was used for revision rhinoplasty to correct a deviated nasal structure and a drooping nasal tip. This patient had undergone multiple prior surgeries, leading to persistent structural concerns that required a precise and tailored approach.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
1. Patient History & Initial Concerns
a. Past Surgical History
✔ 5 years ago: Donor rib cartilage + septal cartilage + silicone implant + hump reduction
✔ History of nasal filler injections (removed during surgery)
b. Primary Concerns
✔ Noticeable nasal deviation
✔ Bulky, undefined nasal tip
✔ Drooping nasal tip affecting facial proportions
✔ Excessive nostril exposure
✔ Poor nasolabial angle (in need of correction)
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
2. Patient’s Surgical Goals
🔹 Straightening the deviated nasal structure
🔹 Refining the nasal tip for a more defined, elegant look
🔹 Lifting the nasal tip to correct the drooping appearance
🔹 Achieving a natural, well-proportioned nose with harmonious nostril exposure
3. Surgical Plan & Execution
a. Preoperative Planning & Structural Analysis
✔ Facial asymmetry evaluation for precise deviation correction
✔ Complete removal of existing nasal fillers to prevent complications
✔ Utilizing autologous rib cartilage for stable and long-lasting results
b. Structural Corrections
✔ Deviation correction through lateral osteotomy
✔ Nasal tip reconstruction using autologous rib cartilage
✔ Septal extension grafting to provide proper support
✔ Nasolabial angle adjustment for a balanced projection
c. Aesthetic Enhancements
✔ Tip refinement – reshaping the cartilage to achieve a sharper, more defined look
✔ Nostril shape and symmetry improvement
✔ Proportionate alignment of nasal bridge and tip
4. Postoperative Results
Before (Left) / Immediately After (Right)
a. Frontal View
✔ Straighter nasal structure
✔ Improved facial symmetry
✔ Refined nasal width and nostril exposure
Before (Left) / Immediately After (Right)
b. Side View
✔ Elevated nasal tip for a more youthful and harmonious profile
✔ Enhanced nasolabial angle for balanced proportions
✔ Smooth and well-contoured nasal bridge
Before (Left) / Immediately After (Right)
c. Overall Aesthetic & Functional Improvements
✔ Better-defined nasal tip
✔ Balanced nostril exposure and shape
✔ Stable, long-lasting structural reinforcement
Before (Left) / Immediately After (Right)
5. Expert Insights – Key Surgical Challenges & Solutions
🔸 Challenges & Considerations
1️⃣ Persistent nasal deviation – Required careful osteotomy and structural realignment for a long-lasting correction.
2️⃣ Drooping nasal tip & weak support – Addressed with rib cartilage grafting to enhance projection and stability.
3️⃣ Previous nasal filler complications – Complete removal was necessary to ensure a clean surgical field and prevent unpredictable changes.
🔹 Key Takeaways
✅ Autologous rib cartilage provides unparalleled stability for revision cases.
✅ Aesthetic corrections must align with structural integrity for long-term success.
✅ Balanced nostril exposure enhances overall facial harmony.
6. Final Thoughts – Achieving a Harmonious, Long-Lasting Result
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
This case underscores the importance of precision and expertise in revision rhinoplasty. Through meticulous planning and structural reinforcement, the patient achieved:
🔹 A more symmetrical and naturally straight nose
🔹 A well-defined, lifted nasal tip
🔹 Improved nasal function and long-term stability
At Nose Lab Clinic, we specialize in tailored surgical strategies to ensure optimal aesthetic and functional outcomes for our patients.
Dr. Cha-Young Kang
Director, Nose Lab Clinic
Thank you.
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