How to plan nasal filler removal and nasal obstruction correction

Hello, I am Dr. Peter C. Kang.

Today, I will present a surgical case of nasal filler removal and correction of nasal obstruction, performed for filler received in December 2023.

• 2023: Nasal filler

• 2024: Double eyelid surgery

• Correction of bulbous nose

• A natural yet defined result

On the front view, the patient's nose appeared blunt and widened overall, and facial asymmetry caused the nose to deviate to one side. On the profile view, irregularities along the nasal bridge were noticeable, the high radix gave an unnatural appearance, and a protruding mouth was observed.

The basal view showed that the left nostril was larger than the right, and the columella was slightly tilted toward the left.

In addition, because the patient reported intermittent nasal obstruction, various examinations for nasal obstruction were conducted at our clinic. As a result, a deviated septum and hypertrophic rhinitis were diagnosed. To address both of these functional problems and cosmetic concerns, a meticulous surgical plan was established.

The surgical plan was approached from the following two aspects.

First, for functional improvement, septoplasty and submucosal resection of the inferior turbinates using radiofrequency laser were planned. This surgery fundamentally addresses the symptoms of nasal obstruction.

For cosmetic improvement, the following step-by-step procedures were performed:

• The previously injected nasal filler was completely removed, and a silicone implant was used to smoothly elevate the nasal bridge.

• The deviated septal cartilage was straightened, and using autologous rib cartilage, the nasal tip was naturally elevated.

• The retracted columella was slightly lowered to adjust the nasolabial angle to 95 degrees, improving the appearance of the protruding mouth.

• Lowering the radix and creating a smooth contour achieved a feminine dorsal line.

• Nostril asymmetry was improved through lower lateral cartilage repositioning and suturing.

Noticeable changes were evident immediately after surgery. The previously blunt nasal tip became refined and natural, and adjusting the nasolabial angle improved the appearance of the protruding mouth. In particular, asymmetry between the left and right nostrils improved substantially, presenting a well-balanced overall appearance.

Nasal filler is only a temporary measure. Achieving a truly pleasing and healthy nose requires a systematic surgical approach. Because breathing function is an essential matter directly linked to quality of life, resolving functional issues alongside cosmetic improvement is critical.

I hope this case helps those troubled by unnatural results from nasal fillers, nasal obstruction, or nasal asymmetry. I will continue to do my best to support healthy, aesthetically pleasing results.

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

Thank you.

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