Hello, I am Dr. Peter C. Kang.

Today, I will introduce a case of a patient who was concerned about an artificial-looking nose and regained a natural line.

🔍 Surgical history

  • 2016: Nasal filler

  • May 2023: Surgery with silicone implant, septal cartilage, and ear cartilage + filler dissolution

💉 Patient's requests

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Front, left profile, and oblique views during design consultation.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Front, left profile, and oblique views during design consultation.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Front, left profile, and oblique views during design consultation.

Front, left profile, and oblique views during design consultation.

  • Straight bridge line

  • Sleek nasal tip

  • Lowering the radix

  • Natural shape

  • Improvement of nasal obstruction

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Right profile, oblique, and nostril views during design consultation.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Right profile, oblique, and nostril views during design consultation.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Right profile, oblique, and nostril views during design consultation.

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

🔧 Preoperative analysis

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

  1. Front view

  • Blunt nose

  • Spread-out appearance

  • Excessive nostril show

  • 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

  • Unnatural line

  • Upturned nose

  • High radix

  • Bulbous nasal tip

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

3. Nostrils

  • Left-right asymmetry

  • Visible scar tissue on the right columella

  • Columella tilted toward the right

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

4. Functional problems

  • Nasal obstruction (right < left)

  • Septal cartilage deviated to the left observed on CT and endoscopic evaluation

  • Bilateral inferior turbinate hypertrophy

💉 Surgical procedure details

  1. Structural improvement

  • Mobilized and fixed the left-deviated septum toward the right

  • Reinforced the weakened septum with donor rib cartilage

  • Corrected the upturned nose using septal extension

2. Cosmetic improvement

  • Adjusted the nasal tip shape naturally through tip cartilage repositioning

  • Removed scar tissue from the right columella

  • Correction of nostril asymmetry

  • Lowering the radix at the glabella

  • Creation of a natural straight bridge line

3. Functional improvement

  • Septoplasty

  • Radiofrequency submucosal resection of the inferior turbinates

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — These are day 0 front, oblique, and profile views immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — These are day 0 front, oblique, and profile views immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Nasal structure of an artificial-looking nose after surgery and reconstruction methods — These are day 0 front, oblique, and profile views immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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.

💡 Specialist's opinion

While everyone desires an attractive nose, an artificial or over-operated appearance can feel unappealing. Describing a result as both refined and natural may sound like a contradiction, but it is indeed an achievable goal.

A genuinely beautiful nose must be in harmony with the overall proportions of the face. A tailored approach is necessary, taking into account every factor, including individual facial contour, skin condition, and soft tissue characteristics.

I will continue to strive to achieve natural, aesthetically pleasing results through this meticulous approach.

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

Thank you.

#closedrhinoplasty #naturalnose #revisionrhinoplasty #donorribcartilage #rhinitisimprovement #customrhinoplasty #septalreconstruction #straightbridgeline #refinednose #harmoniousnose

Limitations and risks

When using donor rib cartilage, long-term follow-up is necessary because the grafted cartilage may resorb or warp.

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.

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