[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’ll share a case involving a patient who had undergone multiple filler injections over the past decade, resulting in an unnatural nasal shape and persistent nasal obstruction. Through functional and aesthetic rhinoplasty, we successfully corrected both structural issues and breathing difficulties while restoring a natural, balanced nose.
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. Surgical History & Initial Diagnosis
a. Patient’s Surgical Background
✔ 10 years of repeated dissolvable filler injections
b. Preoperative Assessment
🔹 Frontal View:
High radix (starting point of the nose)
Broad nasal bridge
Bulbous and over-rotated (upturned) nasal tip
🔹 Side Profile:
High nasal starting point
Over-rotated nasal tip
🔹 Nostril View:
Asymmetrical nostrils
Widened nasal base
Nasal Endoscopy Photos 1.Right Side , 2.Left Side
🔹 Functional Issues:
Deviated nasal septum (left-sided deviation)
Enlarged inferior turbinates
Chronic nasal obstruction
2. Patient’s Surgical Goals
✔ Improve nasal breathing by correcting the deviated septum
✔ Reduce the effects of previous filler injections
✔ Create a natural and refined nasal shape
✔ Stabilize the over-rotated nasal tip
✔ Correct nostril asymmetry while maintaining a natural look
3. Surgical Plan & Procedure
a. Functional Improvement
✔ Septoplasty – Corrected the leftward deviation of the septum to improve airflow
✔ Inferior turbinate reduction with radiofrequency ablation – Reduced the bulk of the turbinates to relieve nasal congestion
b. Structural Corrections
✔ Safe removal of residual filler material from the nasal bridge
✔ Septal extension graft using patient’s own septal cartilage and donor rib cartilage
✔ Use of a silicone implant to create a natural and smooth nasal bridge
c. Aesthetic Refinement
✔ Reshaping of the nasal tip – Defined and stabilized using cartilage grafts
✔ Correction of nostril asymmetry
✔ Lowering of the nasal radix (starting point) to achieve a softer transition
4. Postoperative Results
Before (Left) / Immediately After (Right)
a. Frontal View Improvements
✔ Balanced nasal proportions
✔ Refined and natural nasal tip shape
✔ Slimmer nasal bridge
Before (Left) / Immediately After (Right)
b. Side Profile Enhancements
✔ Lowered nasal radix for a softer, natural look
✔ Stable and proportionate nasal tip projection
Before (Left) / Immediately After (Right)
c. Functional Outcomes
✔ Significant improvement in nasal breathing
✔ Reduced nasal congestion and obstruction
✔ Long-term structural stability
Before (Left) / Immediately After (Right)
5. Expert Insights & Key Considerations
1️⃣ Multiple past filler injections can lead to nasal shape irregularities and unpredictable soft tissue behavior. This makes precise surgical planning essential to avoid overcorrection.
2️⃣ Septal deviation correction significantly improves nasal airflow and can enhance the long-term success of the surgery.
3️⃣ A well-structured nasal tip is crucial for natural-looking results – excessive rotation (over-upturned tip) must be corrected with proper support.
6. Conclusion – A Natural & Functional Outcome
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
Through a combination of filler removal, functional correction, and aesthetic refinement, we achieved:
🔹 A proportional, well-balanced nasal shape
🔹 Stable nasal tip support without an over-rotated look
🔹 Significant relief from nasal obstruction and congestion
At Nose Lab Clinic, we prioritize both function and aesthetics, ensuring long-lasting and natural results.
Dr. Cha-Young Kang
Director, Nose Lab Clinic
Thank you.
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