Revision rhinoplasty approach addressing nostril stenosis, crooked nose, and nasal obstruction together

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case of a patient who suffered from severe nasal obstruction due to nostril stenosis that occurred after a third rhinoplasty.

Through this case, let us take a detailed look at correcting nostril stenosis, straightening a crooked nose, and relieving nasal obstruction.

- 2020: Alar reduction

- 2022: Nostril lowering

- 2023: Ear cartilage + septal cartilage + nostril lowering + alar reduction

1. Correction of nostril asymmetry

2. Correction of the crooked nose

3. Relief of nasal obstruction

1. Front view: The nose appears crooked, and nostril asymmetry is observed

2. Nostril view: The columella tilts to the left, with findings of left nostril stenosis

1. Lateral osteotomy performed to correct the crooked nose

2. Shifting the septum to the right to improve nostril asymmetry: Septal extension and reconstruction using autologous rib cartilage

3. Correction of left nostril stenosis:

- Scar tissue removal

- Skin graft from behind the ear

- Z-plasty performed

4. Correction of deviated septum

5. Submucosal resection of the inferior turbinates using radiofrequency laser

1. Front view: Improvement in the previously crooked-looking nose

2. Profile view: Slight elevation of the nasal tip height, forming a natural straight-subtle curve line

3. Nostril view: Significant improvement in left nostril stenosis, resolving overall asymmetry

Key points

When nostrils become narrowed, surgical correction is extremely demanding. However, in this case, because nasal obstruction due to external nasal valve (nostril) stenosis was severe, nostril widening surgery was essential for functional improvement.

Although the intrinsic size of the nostrils had been reduced by excessive alar reduction, the stenosis was corrected as much as possible through scar tissue removal, Z-plasty, and skin grafting. This is expected to provide substantial help not only for aesthetic improvement but also for respiratory function.

I hope this serves as helpful information for those facing similar concerns. If you are suffering from severe nasal obstruction due to nostril stenosis, consulting with a board-certified otolaryngologist (ENT specialist) can help you find suitable ways to address it.

I will always do my best to support your health and natural aesthetic harmony.

For those considering rhinoplasty or revision rhinoplasty, please ensure you undergo thorough consultation and examination to select the method most appropriate for you.

If you have any questions, please feel free to leave a comment. I will answer with care.

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

Thank you.

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