Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction

Hello, I am Dr. Peter C. Kang.

Today, I will introduce the case of a patient who visited us due to concerns about a drooping tip and nasal obstruction after multiple rhinoplasties.

• 15 years ago: Surgery with silicone implant and ear cartilage

• November 2021: Septum, silicone implant surgery (revision surgery decided due to an elongated nose)

• August 2022: Osteotomy, re-carving and reusing the silicone implant

• Subsequently, a drooping tip and implant show-through occurred

• Drooping nasal tip

• Rhinitis

• Implant show-through

• Correction of the depression at the junction between the nasal tip and bridge

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

1. Front view

• Deviated nose

• Nostril asymmetry

• Wide nose

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

2. Profile view

• Drooping tip

• Depressed nasal dorsum

• Appearance of a dorsal hump

• High radix

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

3. Oblique view

• Drooping tip

• Depression at the junction between the nasal tip and bridge

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

4. Nostril view

• Left-right asymmetry

• Columella tilted to the left

The following findings were confirmed during our clinic's examination:

• Deviated septum

• Hypertrophic rhinitis

1. Nasal tip improvement

• Septal extension using donor rib cartilage

• Creating a stable, well-projected nasal tip

2. Improving the dorsal depression

• Dermal graft in the depressed area

• Creating a straight bridge line using a silicone implant

3. Surgery to improve nasal obstruction

• Septoplasty

• Radiofrequency submucosal resection of the inferior turbinates

This was a case requiring the resolution of complex issues resulting from multiple previous surgeries.

In particular, this surgery addressed the drooping tip while simultaneously correcting the depression between the nasal tip and bridge.

The most important part of rhinoplasty is accurately understanding the patient's requests and achieving them naturally while keeping safety in mind.

In this type of case as well, we were able to achieve an outcome closely matching the reference images presented by the patient.

I will continue to do my best to provide satisfactory results for patients through detailed consultations and precise surgery.

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

Thank you.

#closedrhinoplasty #revisionrhinoplasty #droopingtip #nasalobstructionsurgery #rhinitissurgery #crookednosecorrection #dorsalhump #naturalnose #functionalrhinoplasty