[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share a case of a patient with an allergy-prone condition who sought rhinoplasty without implants. Using autologous rib cartilage, we achieved a stunning nasal line while addressing the patient’s specific concerns.
1. Surgical History and Patient Goals
Surgical History:
October 2022: Septal cartilage, ear cartilage, and non-implant functional surgery.
Patient Goals:
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Refine a bulbous nasal tip.
Correct a crooked nose.
Elevate the nasal tip.
Achieve a dramatic and elegant nasal line.
Avoid implants due to concerns about inflammation and allergies.
Minimize potential warping or unevenness of rib cartilage.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
2. Preoperative Analysis
Before (Left) / Immediately After (Right)
a. Frontal View:
Bulbous nasal tip.
Crooked nasal dorsum.
Asymmetric nostrils.
Before (Left) / Immediately After (Right)
b. Side View:
Drooping nasal tip.
Protruding mouth appearance.
Before (Left) / Immediately After (Right)
c. Nostril View:
Significant asymmetry between left and right nostrils.
Before (Left) / Immediately After (Right)
3. Surgical Plan and Execution
a. Structural Enhancements:
Performed septal extension graft using autologous rib cartilage to support and extend the nasal tip.
Corrected septal deviation for improved symmetry.
b. Nasal Tip Refinement:
Removed excess scar tissue.
Repositioned and reshaped alar cartilage.
Tied cartilage to create a sharper, more refined tip.
Elevated the tip to the maximum safe height.
c. Dorsal Augmentation:
Enhanced nasal bridge height using carefully carved autologous rib cartilage.
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
Immediately After Surgery: Nostril View Photos
4. Results
a. Frontal View Improvements:
The bulbous tip was reshaped into a more defined and elegant contour.
The crooked dorsum was straightened for improved symmetry.
The nostril asymmetry was corrected.
b. Side View Enhancements:
The drooping nasal tip was elevated, creating a harmonious profile.
The protruding mouth appearance was improved with a balanced nasolabial angle.
c. Nostril View Adjustments:
Balanced and symmetrical nostrils.
A smooth and natural transition from the columella to the nostrils.
5. Expert Commentary
This case demonstrates the importance of a customized approach for patients with specific concerns, such as allergies or sensitivities to implants. Using autologous rib cartilage allowed us to:
Avoid potential inflammatory reactions from synthetic materials.
Sculpt a dramatic and elegant nasal line without compromising safety.
Special attention was given to minimizing risks like warping or irregularities, common with rib cartilage grafts. This was achieved through meticulous carving and advanced surgical techniques.
6. Conclusion
Non-implant rhinoplasty offers a safe and effective solution for patients with allergy concerns. By using autologous materials and tailoring the procedure to the patient’s goals, we created a natural yet dramatic nasal line that aligns perfectly with the patient’s desires.
If you’re considering rhinoplasty but have concerns about allergies or implants, Nose Lab Clinic is here to provide personalized solutions with expert care.
Thank you for reading.This is Dr. Cha-Young Kang from Nose Lab Clinic.
Thank you.
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