Why dorsal humps and crooked noses often cause nasal obstruction, and how to address them with combined correction

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case of a patient who visited us with concerns regarding a dorsal hump, a crooked nose, rhinitis, and nasal obstruction.

• Dorsal hump correction

• Correction of crooked nose

• Bridge augmentation

• Desired a straight bridge line

• Signs of right-sided sinusitis on CT

• Nasal obstruction symptoms

• Hypertrophic rhinitis

1. Front view

• Deviated nose

• Bulbous nasal tip

• Poorly defined tip contour

• Wide nose

2. Profile view

• Dorsal hump

• Drooping tip

• Low radix

• Protruding mouth findings

3. Oblique view

• Protruding mouth findings

• Low radix

• Prominent dorsal hump

4. Nostril view

• Left nostril is larger

• Prominent asymmetry

1. Combined correction of dorsal hump and crooked nose

• Precise trimming of the dorsal hump area

• Straightening the deviated nasal bones via lateral osteotomy

• Creating a smooth bridge line using a silicone implant

2. Nasal tip improvement

• Refining the nasal tip contour through lower lateral cartilage repositioning

• Correcting a blunt tip with cartilage suture

• Creating a defined contour by partially removing subcutaneous tissue in the nasal tip

• Adjusting the nasolabial angle for a natural mouth appearance

3. Functional improvement

• Septoplasty

• Radiofrequency submucosal resection of the inferior turbinate

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

• Establishing a straight midline through crooked nose correction

• A defined tip contour that is not overly sharp

• Achieving bilateral symmetry

• An overall balanced nasal width

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

• A smooth nasal bridge line through hump reduction

• A natural radix starting point with an appropriate glabella height

• A refined profile silhouette by correcting the drooping tip

• Improvement of protruding mouth through nasolabial angle correction

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

3. Oblique view

• A smooth, straight bridge line

• Natural bridge height

• Improved tip position

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

• Balanced symmetry between the left and right sides

• Natural nostril shape

• Improved symmetry

This case involved resolving several complex problems simultaneously. It is particularly meaningful because both functional improvements and aesthetic enhancement were achieved together. For patients with signs of sinusitis and rhinitis, careful attention is required during surgical planning. Accurate diagnosis and meticulous surgery are essential to relieve nasal obstruction while delivering satisfying cosmetic results.

I will continue to do my best for the health and aesthetic satisfaction of our patients.

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

Thank you.

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