[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share the story of a patient who came to us seeking solutions for a drooping nasal tip and nasal obstruction after multiple previous rhinoplasties. This case highlights the meticulous planning and execution required to address complex structural and functional issues.
1. Surgical History
15 years ago: Silicone implant and auricular cartilage graft.
November 2021: Septal cartilage graft with silicone implant (leading to an elongated nose, prompting revision).
August 2022: Osteotomy and silicone carving reused (resulting in a drooping tip and translucency).
2. Key Concerns and Requests
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Drooping nasal tip.
Nasal obstruction due to rhinitis.
Translucency of the nasal tip.
Correction of indentation between the nasal tip and dorsum.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
3.Desired Outcome
These are the photos the patient desires.
4. Preoperative Analysis
Before (Left) / Immediately After (Right)
a. Frontal View:
Deviated nose.
Asymmetric nostrils.
Wide nasal tip.
Before (Left) / Immediately After (Right)
b. Side View:
Drooping nasal tip.
Indentation at the dorsum-tip junction.
Slightly pronounced dorsal hump.
High nasal starting point.
Before (Left) / Immediately After (Right)
c. Oblique View:
Drooping nasal tip.
Visible indentation at the dorsum-tip junction.
Before (Left) / Immediately After (Right)
d. Nostril View:
Asymmetric nostrils.
Leftward-tilted columella.
5. Nasal Obstruction Findings
CT scans and nasal endoscopy revealed:
Deviated nasal septum.
Hypertrophic inferior turbinates (bilateral).
6. Surgical Plan & Execution
a. Tip Refinement:
Septal extension graft using donor rib cartilage to stabilize and elevate the nasal tip.
Creation of a firm yet naturally elevated nasal tip.
b. Correction of Dorsum Indentation:
Dermal grafting to fill the depressed areas.
Use of a silicone implant to create a smooth, straight dorsal line.
c. Nasal Obstruction Correction:
Septoplasty to realign the deviated septum.
Submucosal resection of the inferior turbinates using radiofrequency laser to improve nasal airflow.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
7. Results
a. Frontal View Improvements:
Straightened nose with enhanced symmetry.
Refined nasal tip with a natural contour.
Balanced nostrils and improved proportionality.
b. Side View Enhancements:
Smooth dorsum with a well-defined transition to the nasal tip.
Natural projection and position of the nasal tip.
Reduced dorsal hump for a seamless profile.
c. Oblique View Adjustments:
Eliminated indentation at the dorsum-tip junction.
Harmonized dorsal and tip lines for an aesthetically pleasing result.
d. Nostril View:
Corrected nostril asymmetry.
Centered columella.
Balanced nostril shapes.
e. Functional Improvements:
Improved nasal airflow.
Alleviation of nasal obstruction symptoms.
8. Expert Insight
This case demonstrates the importance of a holistic approach when addressing both functional and aesthetic nasal concerns. The patient had undergone multiple surgeries that left them with structural deficiencies and cosmetic imperfections.
By leveraging advanced grafting techniques and addressing both structural and functional issues, we successfully achieved the patient’s desired aesthetic while restoring nasal function.
At Nose Lab Clinic, we prioritize patient-specific solutions that are safe, effective, and aligned with their goals.
Thank you for taking the time to read this case study. If you are experiencing similar concerns, we hope this example provides encouragement and insight into potential solutions.
This is Dr. Cha-Young Kang from Nose Lab Clinic.
Thank you.
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