[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I will introduce a case of a patient who struggled for 10 years with widened nose filler, a drooping nasal tip, and chronic sinusitis, and finally decided to undergo surgical correction.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
1. Patient’s History – Long-Term Concerns
a. Treatment History
✔ 5 years ago – Nose filler injection (never dissolved before)
b. Current Symptoms
✔ Nasal congestion
✔ Frequent nasal discharge
✔ Diagnosed with sinusitis (1 year ago)
✔ Tried medication for 1 month at an ENT clinic
c. Patient’s Requests
✔ Remove widened filler and restore natural shape
✔ Refine dorsal hump (hump removal)
✔ Shorten the long-nose appearance
✔ Maintain nasal height
✔ Achieve a balanced, natural result
2. Surgical Plan
✅ Step 1: Safe Removal & Refinement
🔹 Carefully remove residual filler
🔹 Reshape and smooth out dorsal hump
✅ Step 2: Structural & Proportional Adjustments
🔹 Shorten nasal length by adjusting starting point & tip position
🔹 Straighten and refine the nasal bridge
🔹 Septoplasty to correct deviated septum
✅ Step 3: Functional Correction
🔹 Septal deviation correction for improved airflow
🔹 Turbinate reduction to relieve nasal obstruction
🔹 Sinus expansion to prevent recurrent sinusitis
3. Surgical Execution & Key Adjustments
a. Safe Removal & Refinement
✔ Dissolved and removed the old filler safely.
✔ Mild hump reduction was performed to preserve a natural slope.
b. Structural Adjustments
✔ The long-nose effect was reduced by lowering the nasal starting point and slightly raising the tip.
✔ Deviated septum was corrected, creating a straighter and more balanced nasal framework.
c. Functional Improvement
✔ Septoplasty opened the airways for better breathing.
✔ Turbinate reduction created a more balanced nasal cavity.
✔ Sinus expansion is expected to prevent worsening sinusitis.
4. Post-Surgical Results
Before (Left) / Immediately After (Right)
a. Frontal View
✔ Refined nasal bridge width – no more widened filler effect
✔ Crisp and well-defined nasal contours
✔ Balanced nostril proportions
Before (Left) / Immediately After (Right)
b. Side Profile
✔ Smooth nasal bridge with aesthetic slope
✔ Corrected long-nose effect – more proportionate to the face
✔ Tip no longer drooping – youthful, natural elevation
Before (Left) / Immediately After (Right)
Before (Left) / Immediately After (Right)
c. Functional Benefits
✔ Improved nasal breathing
✔ Reduced nasal discharge
✔ Lower likelihood of sinusitis recurrence
5. Expert Insights – Addressing Long-Term Filler & Functional Concerns
🔹 Key Considerations When Removing Nose Filler
1️⃣ Prolonged filler can distort nasal shape – careful dissolution is essential.
2️⃣ Residual filler should be completely removed to avoid irregularities.
3️⃣ Maintaining nasal height post-removal requires structural support, especially if the patient is used to the previous height.
🔹 Balancing Function & Aesthetics
✅ In many cases, nasal congestion and sinusitis are linked to structural issues like septal deviation.
✅ Correcting both the function and form of the nose provides long-term stability and natural beauty.
6. Final Thoughts & Patient Advice
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
🔹 For Those Considering Filler Removal…
✔ Prolonged fillers can cause nasal widening and asymmetry over time.
✔ If nasal function is compromised, consider a combined approach.
✔ Work with a specialist who understands both aesthetic and functional aspects.
🔹 At Nose Lab Clinic, We Prioritize…
✔ Safe, precise filler removal
✔ Customized reshaping for natural proportions
✔ Long-term functional improvement
If you’re struggling with persistent nasal issues due to previous filler injections, we are here to help you achieve a balanced, healthy, and natural-looking nose.
Dr. Cha-Young Kang
Director, Nose Lab Clinic
Thank you.
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