Why nasal obstruction returns after rhinitis surgery and how structural correction is performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who underwent rhinoplasty to improve rhinitis symptoms along with achieving a natural nasal line.

• 8 years ago: Rhinitis surgery

• 4 years ago: Nasal filler injection, later dissolved

• Alternating nasal obstruction during sleep

• Frequent phlegm production

• Postnasal drip (phlegm draining down the throat)

• Front view: The nasal bridge appears widened, flat, and crooked

• Profile view: Low glabella with signs of a protruding mouth

• Oblique view: Low glabella and a drooping nasal tip

• Nostrils: Bilateral asymmetry and a blunt nasal tip

• A natural nasal height that is not excessively high

• Improvement of a crooked-appearing nose

• A shape harmonious with the face

• Open to using a silicone implant

1. Functional improvement

• Reduced the volume of the inferior turbinates through rhinitis surgery

• Correction of deviated septum

• Expanded the internal nasal cavity space

2. Structural improvement

• Correction of crooked nose

• Created a nasal bridge with natural height

• Adjusted the nasal tip position to improve the appearance of a protruding mouth

3. Balance improvement

• Securing nostril symmetry

• Refined the nasal tip into a sleek shape

• Overall balance adjustment

1. Front view

• The previously widened nasal bridge was refined into a slimmer contour

• The previously crooked nose was straightened

• Creating natural three-dimensional definition

2. Profile view

• Appropriate glabellar height

• The appearance of the protruding mouth was improved through nasolabial angle correction

• Correction of a drooping tip

3. Oblique view

• Achieved a natural bridge line

• Secured a stable nasal tip position

• Improved overall harmony

4. Nostril view

• Improvement of left-right symmetry

• Completed a refined nasal tip shape

• Restoration of smooth breathing function

This was a case where both functional and aesthetic improvements needed to be achieved simultaneously. As the patient requested, we secured sufficient height without making it excessive, while also resolving the discomfort caused by rhinitis. In particular, by planning a design that considered the balance of the entire face, we were able to achieve a natural and satisfying result.

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

#closedrhinoplasty #revisionrhinoplasty #rhinitissurgery #naturalnose #customrhinoplasty