Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who visited us due to concerns about nasal obstruction and a crooked nose.

Through this case, I will explain the importance of rhinoplasty that considers both function and aesthetics.

🔍 Surgical history and patient requests

  • 2015: Silicone implant and septal surgery

  • Improvement of nasal obstruction

  • Increasing nasal tip height

  • Correction of crooked nose

Front, left profile, and oblique views from the design consultation.

🔧 Preoperative analysis

  1. Front view

  • Nose deviated to the left

  • Bulbous nasal tip

  • Excessive nostril show

2. Profile view

  • Depressed nasal tip

  • Columella not visible between the alae

3. Oblique view

  • Bulbous nasal tip

  • Protruding mouth findings

4. Nostril view

  • Left-right asymmetry

  • Columella tilted to the left

Right profile, oblique, and nostril views during design consultation.

💉 Surgical plan and procedure

  1. Reconstruction using autologous rib cartilage

  • Restoration of septal cartilage damaged during previous surgery

  • Reinforcement of nasal tip support

  • Improvement of asymmetric structure

2. Septal extension graft

  • Correction of deviated nasal tip

  • Improvement of bulbous nasal tip

  • Correction of nostril asymmetry

3. Functional improvement surgery

  • Correction of deviated septum

  • Rhinitis surgery

🌟 Surgical results

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

  1. Front view improvement

  • Correction of crooked nose

  • Creating a defined nasal tip

  • Correction of alar asymmetry

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

2. Profile view improvement

  • Natural nasal tip height

  • Correction of a blunt nasal tip line

  • Columellar exposure

  • Refined profile line

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

3. Oblique view improvement

  • A masculine nasal bridge line

  • Improvement of protruding mouth

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

4. Nostril view improvement

  • Improvement of nostril asymmetry

  • Improvement of left-tilted columella

5. Functional improvement

  • Correction of deviated septum

  • Widening the nasal airway by reducing the size of hypertrophied inferior turbinates

  • Improvement of nasal obstruction

💡 Specialist opinion

Front, oblique, and profile views on day 0 immediately after surgery. 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.

The key in this type of case was balanced improvement in both function and aesthetics. By reconstructing the deviated septum with autologous rib cartilage and simultaneously reinforcing support for the nasal tip, we were able to achieve a stable long-term result.

In particular, functional issues such as nasal obstruction directly impact quality of life. By straightening the crooked nose while simultaneously improving respiratory function, we were able to achieve high patient satisfaction.

I will continue to do my best to ensure both functional and aesthetic satisfaction for our patients.

I hope this is helpful to those with similar concerns.

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

#closedrhinoplasty #crookednosecorrection #nasalobstructionrelief #autologousribcartilage #tipplasty #functionalrhinoplasty #deviatedseptum #hypertrophicrhinitis

Limitations and risks

When autologous rib cartilage is used, scarring and pain may remain at the donor site on the chest, and pneumothorax (pleural injury) can occur rarely. Over time, the grafted cartilage may warp or undergo partial resorption.

When the septum is corrected at the same time, nasal obstruction may persist or recur, and in rare cases, septal perforation or changes in smell may occur.

Common potential risks include infection, bleeding, asymmetry, scarring, skin necrosis, and insufficient improvement; results vary depending on individual skin condition and previous surgical history.