Preoperative design
The patient visited NOSELAB after developing inflammation following previous surgery, which resulted in a contracture deformity where the nasal tip became depressed and upturned. There was severe nostril asymmetry, and the nasal tip appeared compressed and spread out.
2. Surgical plan
I planned to restore the depressed nasal tip using autologous rib cartilage and to correct the nostril asymmetry by assessing the condition of the septal cartilage and the extent of damage to the lower lateral (alar) cartilage, followed by reconstructing the damaged cartilaginous framework.
3. Photos taken immediately before surgery
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.
Dr. Peter C. Kang
Limitations and risks
When autologous rib cartilage is used, scarring and pain may remain at the donor site on the chest, and pneumothorax (pleural injury) can occur rarely. Over time, the grafted cartilage may warp or undergo partial resorption.
When the septum is corrected at the same time, nasal obstruction may persist or recur, and in rare cases, septal perforation or changes in smell may occur.
Common potential risks include infection, bleeding, asymmetry, scarring, skin necrosis, and insufficient improvement; results vary depending on individual skin condition and previous surgical history.