Hello, I am Dr. Peter C. Kang.
Today, I would like to introduce a customized rhinoplasty case of an international patient who visited with very specific requests.
Design consultation: front, left oblique, and profile views.
🔍 Surgical history
2012: Rib cartilage rhinoplasty (Shanghai)
2020: Ear cartilage rhinoplasty (Jakarta, Indonesia)
2021: Donor rib cartilage rhinoplasty (Korea)
May 2024: Silicone implant + autologous rib cartilage + paranasal augmentation (Shanghai)
The patient's specific requests
Right profile, oblique, and nostril views during design consultation.
Gently lower the retracted columella in a rounded contour
Avoid making the columella excessively long
Improvement of nostril asymmetry
Desire to maintain the existing silicone implant (no changes wanted to the nasal dorsum and bridge)
I was able to clearly understand the ideal nasal shape the patient hoped to achieve.
Detailed correction plan
Naturally lower the columella
Improvement of nostril asymmetry
Excise the triangular scar tissue below the left columella
Improve the front-view nostril show on the right side
Surgical procedure details
Columellar correction using donor rib cartilage
Nostril extension by grafting donor rib cartilage onto the right lower lateral cartilage
Excision of the triangular scar tissue beneath the left columella
Correction of nostril asymmetry
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.
🌟 Surgical results
Nostril asymmetry improved on the front view, and the excessive visibility of the right nostril was naturally corrected
The previously retracted columella was naturally improved
Improved nostril asymmetry
The triangular scar tissue beneath the left columella was excised
Front, profile, and oblique views immediately after surgery on day 0 Photos taken immediately after surgery show swelling and may differ from the final result.
Nostril view on day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
💡 Closing remarks
We aim for customized rhinoplasty that reflects the patient's needs as closely as possible. As seen in this case, we carefully analyze the patient's specific requests and do our best to realize them thoroughly.
Just as every patient has unique facial features and desired outcomes, rhinoplasty requires a customized approach tailored to each individual. NOSELAB will continue to accurately identify patients' needs and remain a trustworthy clinic dedicated to achieving them.
This was Dr. Peter C. Kang. Thank you.
Thank you.
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Limitations and risks
When using donor rib cartilage, long-term follow-up is necessary because the grafted cartilage may resorb or warp.
Common potential risks include infection, bleeding, asymmetry, scarring, skin necrosis, and insufficient improvement; results vary depending on individual skin condition and previous surgical history.