Crooked nose correction considering facial asymmetry

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the story of a patient with facial asymmetry who underwent rhinoplasty after being troubled by a dorsal hump, a crooked nose, and a drooping columella. Through this case, I will explain in detail how complex nasal issues can be addressed through closed surgery and how rhinoplasty should be approached when facial asymmetry is present.

The patient visited our clinic with the following concerns:

1. A columella that appeared drooping

2. Need for dorsal hump correction

3. Need for crooked nose correction

4. Allergic rhinitis symptoms

In addition, the patient had received nasal filler 5 years ago, and 2 years ago had lifting threads inserted at an oriental medicine clinic, which were removed the very next day.

Upon detailed evaluation of the patient's face during the preoperative consultation, the following characteristics were identified:

1. The nose appeared crooked overall due to facial asymmetry

2. A dorsal hump diminished the feminine aesthetic

3. A drooping nasal tip caused the overall nose to look long

4. A low-hanging columella made the nose appear even longer

5. Nostril asymmetry was present

To resolve these complex issues, the following surgical plan was established:

1. Nasal tip correction using harvested autologous rib cartilage

2. Correction of the drooping nasal tip and nostril asymmetry

3. Slightly elevating the columella

4. Dorsal hump reduction

5. Crooked nose correction via lateral osteotomy

6. Creating a natural transition from the nasal tip to the forehead line using a silicone implant

I perform all rhinoplasty procedures using a closed approach. In this case as well, the closed technique provided the following advantages:

1. Minimized postoperative swelling and recovery period

2. No columellar scar at the nasal tip

3. Precise surgery planned with safety in mind

Crooked nose correction was carried out while evaluating the balance between the nose and the overall facial proportions, taking facial asymmetry into account.

Comparing the photos taken on day 0 immediately after surgery with the preoperative photos, the following changes can be observed. Immediate postoperative photos show swelling and may differ from the final result.

1. The overall nasal line has become natural and smooth

2. The dorsal hump has been improved, creating a more feminine impression

3. The nasal tip has been elevated and the columella adjusted, making the nose appear shorter

4. The crooked nose has been corrected, improving overall facial balance

5. Nostril asymmetry has been improved, creating a more natural appearance

Particularly noteworthy is that even with facial asymmetry present, the nose was naturally corrected, producing an effect where the overall facial asymmetry appears less prominent.

This surgical case resolved complex nasal concerns—including a dorsal hump, crooked nose, and drooping columella—simultaneously with the challenging condition of facial asymmetry. Using the closed approach technique, delicate correction was achieved while taking into account the proportions and harmony of the entire face, while supporting minimal scarring and rapid recovery.

In particular, when facial asymmetry is present, crooked nose correction requires a far more delicate approach. When thorough analysis, personalized planning, and meticulous correction via closed rhinoplasty are combined, the intended result can be achieved.

If you are considering rhinoplasty, I encourage you to consult with a specialist to determine the approach best suited to you. I will always be by your side for natural and healthy beauty.

This was Dr. Peter C. Kang. Thank you.

Thank you.

#closedrhinoplasty #rhinoplasty #dorsalhump #crookednose #droopingcolumella #facialasymmetry #nasalfiller #autologousribcartilage #tipplasty #nasalbridgeplasty #plasticsurgery #closedrhinoplastyspecialist