Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case of a patient who was concerned about a dorsal hump and a long nose.

In particular, this case was accompanied by severe rhinitis and nasal obstruction, making it a meaningful procedure that achieved both functional and aesthetic improvement simultaneously.

🔍 History and symptoms

  • June 2023: 1 thread lifting procedure on the nasal bridge and nasal tip

  • Severe bilateral nasal obstruction

  • Rhinitis accompanied by clear rhinorrhea

💉 Patient's requests

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, left profile, and oblique views during design consultation.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, left profile, and oblique views during design consultation.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, left profile, and oblique views during design consultation.

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

  • Dorsal hump correction

  • Correction of a long nose

  • Correction of wide nose

  • Correction of a bifid (split) nasal tip

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Design consultation: right oblique, profile, and basal (nostril) views.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Design consultation: right oblique, profile, and basal (nostril) views.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Design consultation: right oblique, profile, and basal (nostril) views.

Design consultation: right oblique, profile, and basal (nostril) views.

🔧 Preoperative analysis

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

  1. Front view

  • Long nose

  • Flared nasal tip

  • Visibility (show-through) of the nasal tip cartilage

  • Prominent asymmetry

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

2. Profile view

  • Dorsal hump

  • Drooping tip

  • Long nose

  • Protruding mouth findings

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

3. Nostrils

  • Severe asymmetry

  • Columella tilted to the left

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

💉 Surgical procedure

  1. Functional improvement

  • Septoplasty for deviated septum correction

  • Radiofrequency submucosal resection of the inferior turbinates

2. Structural correction

  • Correction of the deviated nasal bridge via lateral osteotomy

  • Removal of nasal bridge threads

  • Dorsal hump reduction

  • Placement of a thin silicone implant

3. Correction of nasal length

  • Septal extension using septal cartilage and donor rib cartilage

  • Overcorrected to support a stable result

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, profile, and oblique views on day 0 immediately after surgery. Because these photos were taken immediately after surgery, swelling is present and the appearance may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, profile, and oblique views on day 0 immediately after surgery. Because these photos were taken immediately after surgery, swelling is present and the appearance may differ from the final result.
Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Front, profile, and oblique views on day 0 immediately after surgery. Because these photos were taken immediately after surgery, swelling is present and the appearance may differ from the final result.

Front, profile, and oblique views taken immediately after surgery (day 0).Immediate postoperative photos 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 opinion

Correcting a long nose is not merely about reducing length, but rather a surgery that requires repositioning the overall structure.

Because there is a strong tendency after surgery to relapse toward the original length, appropriate overcorrection is often necessary.

In addition, when congenital asymmetry is pronounced, achieving better symmetry can be challenging.

In such cases, the goal is to improve asymmetry as much as possible within a natural range.

I hope this case is helpful to anyone concerned about a long nose or a dorsal hump.

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

Thank you.

#dorsalhumpsurgery #longnosecorrection #rhinitissurgery #nasalobstructionrelief #asymmetrycorrection #rhinoplastyreview #naturalnose

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.

Read original on Naver ↗