Hello, this Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today we will talk about the rhinoplasty case of a patient who was concerned about severe nostril asymmetry and a crooked nose.
The patient had a previous experience getting nasal fillers and rhinoplasty at another hospital in the past, but she still faced discomfort afterwards. The patient specially wished to improve the breathing functional issues, and the aesthetic aspect.
Preoperative Design Consultation
Previous procedures and medical history:
7~8 years prior: nose filler procedure (1 dissolving session)
2 years and a half prior: rhinoplasty using donated rib cartilage and silicone at another hospital.
Frontal view:
Nose bent to one side
Exposed nostrils
Noticeable asymmetric nostrils
High nose bridge starting point
Side profile view:
High glabella starting point
Short and upturned nose tip
The mid-face appeared long.
45-degree angle view:
The croocked nose is more prominent
Upturned nose tip
Nostrils:
Severe nostril asymmetry
Columella tilted to one side
Narrow right-side nostril
Surgical plan
The patient's major complaints were regarding the existing breathing problems...
After determining the patient's condition and requirements, we developed the following plan:
Foreign body removal (filler)
Septal reconstruction using autologous rib cartilage
Septal extension graft
Septoplasty
Inferior turbinates submucosal resection using a high-frequency laser.
Before and After Surgery Photos
Straightening of the crooked nose
The excessively exposed nostrils were made more natural
Nostril asymmetry improvement
Natural-looking lowering of the glabella starting point
Balance enhancement after lowering the upturned nose and lenghteningg the previously short nose tip.
Achieved a shortening effect of the midface.
Transformed the crooked nose into a smoother shape.
Achieved a more harmonious appearance overall by lowering and lenghtening the nose tip.
Significant improvement of the severly asymmetrical nostrils.
Straightening of the columella that was previously leaning to one side.
The narrow right nostril was adjusted to be wider and to achieve balance between both sides.
After Surgery Table Photos
Overview
This complex rhinoplasty case achieved both aesthetic and functional improvements. The following are particularly noteworthy:
1. Removal of foreign substances
By removing the existing filler and using silicone implants to smooth the nose shape, we can expect natural results.
2. Septal reconstruction and correction:
By reconstructing and correcting the severely damaged and deviated nasal septum, we were able to secure the structural stability of the nose, and improve the respiratory function.
3. Improvment of the nostril asymmetry:
Severe nostril asymmetry could be naturally improved through septal correction and alar cartilage repositioning.
4. Correction of the crooked nose tip:
Through septal extension graft surgery, the tip of the nose, which was previously upturned, was lowered,at the same time that the midface was made to look shorter.
5. Improved respiratory function:
The patient's major complaints were regarding the existing breathing problems. These were significantly improved through septoplasty and inferior turbinate resection surgery.
Conclusion
When the tip of the nose becomes tilted to one side, especially if is related to severe septal deviation, if the deviation is not corrected, the tip will continue to bend to one side. This means that it is difficult to fundamentally resolve the problem by solely correcting the tip of the nose.
As can be seen in this case, the problems of nasal deviation and nostril asymmetry are often closely related to the problems of the nasal septum. Therefore, in order to solve these complex problems, it is important to understand the structure of the nose as a whole, find the root cause, and correct it.
I hope this case has given hope to those who are concerned about crooked noses or severe nostril asymmetry. Especially for those who are still experiencing discomfort after rhinoplasty, please remember that it is important to consider functional improvement as well as external cosmetic enhancements.
As an ENT specialist, Noselab Clinic provides an optimized surgical plan for each patient based on anatomical knowledge and abundant surgical experience.
Through a comprehensive approach that simultaneously considers functional and cosmetic improvements, we aim to create beautiful noses that breathe easy.
With Noselab Clinic you can achieve a beautiful and healthy nose!
Thank you.
WHERE TO FIND US
FOLLOW US ON SOCIAL MEDIA FOR MORE!
Comments