Closed approach correction of a dorsal hump and nasal tip

Hello.

I am Dr. Peter C. Kang, medical director.

Today, I would like to introduce the case of a patient undergoing their sixth revision rhinoplasty.

The patient visited the clinic urgently due to a progressively upturning nose, worsening nasal obstruction, and a gradually diminishing sense of smell.

The patient experienced significant stress from dissatisfaction with the side profile and nasal shape, excessive nostril show from the front, and severe nostril asymmetry.

Along with correcting the nostril asymmetry that was a major concern for the patient, autologous rib cartilage was used to perform an overall revision rhinoplasty, combined with 2 types of functional surgeries to relieve nasal obstruction.

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Preoperative analysis

Front view

1. The nose is slightly deviated to the right

2. The radix starts somewhat low

3. The nasal tip is bulbous and slightly wide

4. There is moderate nostril show

5. The nasal tip is slightly deviated to the right

6. The nostrils appear slightly asymmetrical

Profile view

1. The radix starts low

2. A distinct dorsal hump is present

3. There is a slight depression at the junction between the nasal bridge and nasal tip

4. The nasal tip is slightly drooping

5. The columella is slightly retracted

6. The nasolabial angle is somewhat acute

7. Mild protruding mouth is noted

Oblique view

• The nasal bridge line appears unnatural due to the dorsal hump

• Overall, the nose appears slightly drooping

Basal (nostril) view

• Slight nostril asymmetry is present

• The columella is tilted slightly to the right

• The nasal base is slightly wide

• The nasal tip is somewhat bulbous

Immediate post-op Day 0 analysis Immediate postoperative photos show swelling and may differ from the final result.

Front view

1. The nasal deviation was corrected, resulting in a straighter appearance

2. The radix starting point was appropriately elevated

3. The bulbous nasal tip was refined and made more delicate

4. Nostril show was reduced

5. The deviation of the nasal tip was corrected

6. Nostril symmetry was improved

Profile view

1. The radix starting point was appropriately elevated

2. The dorsal hump was corrected, creating a natural nasal bridge line

3. The depression between the bridge and tip was improved

4. The drooping nasal tip was corrected and appropriately elevated

5. The columellar retraction was improved

6. The nasolabial angle was naturally improved

7. The appearance of the protruding mouth was slightly improved

Oblique view

• The bridge line became very natural

• The overall nasal shape appears balanced and elevated

Basal view

• Nostril symmetry was improved

• The columellar tilt was corrected

• The widening of the nasal base was reduced

• The nasal tip became more refined and natural

Through closed rhinoplasty, the dorsal hump was effectively corrected, and the shape and position of the nasal tip were improved. Overall nasal symmetry and balance were enhanced, creating a more natural and harmonious facial profile. In particular, the improvement in the dorsal line from the profile view is notable, and the deviation and asymmetry of the nose were also effectively corrected from the front.

Dr. Peter C. Kang

http://www..co.kr/