Hello, I’m Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’m excited to share a case of highly customized rhinoplasty, specifically tailored to address a pointed nose tip and cartilage visibility concerns. This case demonstrates how we incorporate a patient’s unique requests to achieve their desired outcomes.
1. Patient Background and Requirements
Surgical History:
2020: Ear cartilage and tip surgery + philtrum reduction
2022: Ear cartilage and tip surgery + silicone implant + alar base reduction + philtrum reduction
2023: Implant removal + donor rib cartilage + septal cartilage and extension
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos.
Patient’s Specific Requests:
Softening of the pointed nose tip
Resolution of cartilage visibility at the tip
Maintenance or slight increase in tip height (with a rounded shape)
Retain current dorsal height and shape
Retain the slightly upturned nostril appearance
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
Video Showing Protruding Nasal Tip Cartilage, Sunken Nasal Bridge, and Crooked Nose
2. Surgical Plan
Tip Reinforcement: Augmentation with donor rib cartilage
Skin Strengthening: Placement of artificial dermis at the tip to prevent cartilage show-through
Correction of Nasolabial Angle: Adjust for enhanced natural balance
3. Surgical Execution
Tip Reconstruction:
Removal of previous ear cartilage grafts
Broad coverage of the nose tip with donor rib cartilage for a softened contour
Placement of artificial dermis for additional skin thickness and prevention of cartilage show-through
Cartilage Reconstruction:
Rebuilding absent alar cartilage for structural support
Augmentation of a minor dorsal depression with donor rib cartilage
Post-Surgery Video Reflecting 100% of the Patient’s Requirements
Before (Left) / Immediately After (Right)
Before (Left) / Immediately After (Right)
Before (Left) Frontal Photo, Before (Right) Nasal Tip Cartilage Protrusion (Arrow)
Immediately After (Left) Diagram of Donated Rib Cartilage Graft, Immediately After (Right)
Before (Left) / Immediately After (Right)
4. Key Aspects of the Custom Plan
Preservation of Dorsal Shape: Honoring the patient’s request, we maintained the subtle bump above the dorsum for a familiar profile.
Upturned Tip Appearance: Adjusted to retain the patient’s preferred elevated tip shape.
Use of Donor Rib Cartilage: Respected the patient’s choice to avoid autologous tissue.
Increased Tip Height: Incorporated to meet the patient’s preference for a slightly elevated, rounded tip.
5. Conclusion
Immediately After Surgery: Frontal, Side, and Oblique Side Photos
Immediately After Surgery: Nostril Photos
At Nose Lab, we are committed to achieving a fully customized rhinoplasty experience that respects each patient’s aesthetic vision while ensuring medical safety. This case showcases the careful integration of the patient’s specific requests with our expertise, resulting in a personalized and satisfying outcome.
Through extensive consultations, we provide clarity and collaboration with our patients, ensuring their choices are informed and respected. For anyone with similar concerns, this case underscores the possibility of achieving a natural and personalized look through tailored rhinoplasty.
If you are considering rhinoplasty and have specific requirements, I encourage you to consult with a specialist to explore your options.
Thank you for reading. This is Dr. Cha-Young Kang at Nose Lab Clinic.
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