Anatomy and correction methods for a crooked nose and dorsum depression

Hello, I am Dr. Peter C. Kang.

Today, I would like to present a case of correcting a crooked nose and dorsum depression in a 31-year-old male patient.

Through this case, let us examine a personalized rhinoplasty approach that addresses both functional issues and aesthetic goals simultaneously.

• 31-year-old male

• Surgical history: October 2017 dorsal hump reduction + septal cartilage

1. Correction of dorsum depression

2. Crooked nose

3. Nostril asymmetry

4. Relief of rhinitis

5. Improvement of nasal obstruction

1. Radiofrequency submucosal resection of the inferior turbinate (for rhinitis relief)

2. Septoplasty (relief of nasal obstruction)

3. Septal extension using autologous rib cartilage

4. Lateral osteotomy (correction of the crooked nasal bridge)

5. Silicone implant placement (bridge correction and improvement of uneven contour)

Profile view:

• The uneven contour of the nasal bridge was smoothed out.

• Correction of the nasolabial angle improved the appearance of the protruding mouth.

Oblique view:

• The uneven contour of the nasal bridge was smoothed out.

• The drooping nasal tip appearance was corrected.

Front view:

• The crooked nasal bridge was straightened.

• The hanging appearance of the columella was improved.

• Nostril asymmetry was corrected.

Nostrils:

Nostril asymmetry was corrected.

The protruding area caused by an elevated right tip was corrected.

Today, I presented a revision case where an implant was used due to an unsatisfactory result after an implant-free rhinoplasty. Although implant-free surgery has the advantage of lowering the risk of inflammation and contracture, it can have limitations from an aesthetic standpoint.

In particular, achieving sufficient improvement when correcting deviation or asymmetry can be challenging without an implant. Therefore, the surgical method for rhinoplasty must be chosen carefully according to each patient's individual condition and goals.

In this type of case, placing a silicone implant was chosen to effectively resolve the patient's dorsum depression and crooked nose.

If you are considering rhinoplasty, please consult thoroughly with a specialist to select the surgical approach that best suits your condition.

I always place patient safety and satisfaction first, striving to provide personalized rhinoplasty solutions tailored to each individual.

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

Thank you.

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