Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic. Today, I’ll be sharing a unique case of revision rhinoplasty that highlights the importance of safe, natural-looking outcomes in nasal surgery.
Surgical History and Patient’s Goals
The patient first underwent rhinoplasty in 2018, which involved the use of septal cartilage, mesh, and osteotomy techniques. However, she came to us seeking a more natural look with a subtle, “non-prominent” nose shape.
1. Pre-Surgery Condition Analysis
Front View:
Rounded, wide nasal tip
Wide nasal bridge
Asymmetrical nostrils
Pre-Surgery Design Consultation Photos
Side View:
High nasion (bridge start point)
Blunt nasal tip
Drooping columella
Oblique View:
Overall blunt and wide nasal structure
Drooping tip
Nostrils:
Visible asymmetry
Pre-Surgery Design Consultation Photos
2. Surgical Plan: Strategic Approach to Multiple Concerns
To address these complex issues, we developed a detailed surgical plan:
1.Lateral Osteotomy: Narrowing the nasal width
2.Bridge Height Adjustment: Lowering the starting point for balance
3.Tip Refinement:
Removal of excess subcutaneous tissue
Repositioning alar cartilage
4.Autologous Rib Cartilage Use:
Septal reconstruction and extension
Subtle dorsal augmentation
5.Nasolabial Angle Adjustment
3. Surgical Process: Addressing Unexpected Challenges
During surgery, we encountered several unexpected issues:
Mesh Removal: We discovered four pieces of mesh (two on each side), which required careful removal to avoid damage to surrounding tissue.
Severe Septal Cartilage Damage: Significant damage to the septal cartilage necessitated extensive reconstruction using rib cartilage.
4. Post-Surgical Outcome: A Natural and Balanced Appearance
The results were exceptional, aligning perfectly with the patient’s desire for a natural-looking nose:
Photos Immediately After Surgery: Frontal, Oblique Side, and Side Views
Photos Immediately After Surgery: Nostril View
A slimmer, refined nasal tip
Smooth, natural nasal bridge line
Improved facial balance with a lower nasion
Corrected columella for a harmonious profile
5. Before & After: Remarkable Transformation
Comparing pre- and post-surgery photos, the transformation is striking. The previously rounded and wide nasal tip is now refined, while the nasal bridge has a more natural line. The lowered nasion enhances the overall facial proportions, achieving the “subtle, natural nose” the patient envisioned.
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
6. Key Takeaway: Safety and Expertise in Rhinoplasty
This case emphasizes the importance of safety and expertise in rhinoplasty, particularly with revision surgeries. In this case, the use of mesh caused complications, as mesh can lead to inflammation and contraction. For safe and effective outcomes, it’s crucial to use reliable materials and techniques.
7. Final Note: Committed to Enhancing Your Beauty
At Nose Lab Clinic, patient safety and satisfaction are always our top priorities. Our approach to rhinoplasty considers each patient’s unique facial harmony and balance, ensuring that results go beyond cosmetic change to enhance confidence and quality of life.
Thank you,
Dr. Cha-Young Kang, Director of Nose Lab Clinic
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