Revision rhinoplasty for a long nose and a wide, flat nasal bridge

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic seeking help for concerns following multiple prior rhinoplasties, including a long nose, a flat and wide nasal bridge, and nasal obstruction.

• 19 years ago: Nasal filler (fully dissolved)

• 20 years ago: Ear cartilage grafting, dorsal hump reduction, no implant

• 10 years ago: Nasal tip surgery (using septal cartilage)

• Mucus pooling caused by a mucosal scar on the left side

• Seasonal nasal obstruction

• Deviated nose

• Flat, wide nasal bridge

1. Refinement of the nasal bridge and nasal tip via lateral osteotomy

2. Autologous rib cartilage grafting

3. Alar rim lowering

4. Functional improvement

• Correction of deviated septum

• Radiofrequency submucosal resection of the inferior turbinates

The patient desired a natural yet well-defined, refined look, specifically wishing to correct the elongated facial impression and the flat, wide nasal bridge. Although surgery without an implant was initially considered, the patient decided during the consultation process to proceed with an implant.

Intraoperative view

1. Front view

• Flat and wide nasal bridge

• Crooked nasal bridge

• Thin and small nasal tip

• Nostril asymmetry

2. Profile view

• Overall elongated nose

• Drooping appearance

• Pointed nasal tip

3. Nostrils

• Nostril asymmetry with a larger right nostril

1. Front view improvement

• Three-dimensional definition restored to the previously flat, wide nasal bridge

• Correction of crooked nose

• Improvement of asymmetry

• Natural nasal tip contour established

2. Profile view improvement

• Improved proportions for the previously elongated nose

• Correction of the drooping nasal tip

• Achieved a natural nasal tip shape

3. Nostril improvement

• Adjustment of the right nostril size

• Improved bilateral symmetry

Immediately after surgery (Day 0) nostrilsImmediate postoperative photos show swelling and may differ from the final result.

Through this procedure, all of the patient's concerns were addressed. By creating a refined nasal shape that is natural yet appropriately defined, the patient's overall satisfaction was elevated.

As demonstrated here, NOSELAB pursues customized rhinoplasty that considers each individual patient's facial balance and desired aesthetic goals.

I hope this case proves helpful to anyone experiencing similar concerns.

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

Thank you.

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