Hello, I am Dr. Peter C. Kang.
Today, I would like to share the case of a patient who underwent reconstruction with autologous rib cartilage to correct a crooked nose that developed after dorsal hump surgery.
Front, left profile, and oblique views during design consultation
📍 Surgical history
2020: Septal correction + dorsal hump rasping + osteotomy
2023: Tip elevation surgery using Alloderm and ear cartilage
Design consultation: right oblique, profile, and basal (nostril) views.
🔎 Initial consultation findings
Crooked nose observed
Wide nose
Deviated septum
Rhinitis symptoms
Nasal endoscopy photographs.
✨ Patient's requests
Correction of deviated nose
Preference for autologous rib cartilage
Use of silicone implant
Elevation of the nasal tip
Correction of wide nose
A shape harmonious with the face
Reference photos showing the look desired by the patient.
💉 Surgical procedure details
Functional improvement
Correction of deviated septum
Radiofrequency submucosal resection of the inferior turbinates
Septal reconstruction using autologous rib cartilage
2. Structural improvement
Removal of existing donor rib cartilage
Raising the nasal bridge using autologous rib cartilage
Correction of crooked nose
3. Shape improvement
Elevation of the nasal tip position
Correction of wide nose
Overall balance adjustment
✅ Surgical results
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
Front view
Correction of deviated nose
Slimming the widened nasal contour
Achieving a more symmetrical shape
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
2. Profile view
Natural bridge height
Improved tip position
Harmonious profile line
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
3. Oblique view
Smooth nasal bridge line
Stable tip shape
Improving overall balance
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
4. Nostril view
Improving breathing function through septal correction
Symmetric nostril shape
Securing functional stability
👨⚕️ Specialist's assessment
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.
In this case, the septal cartilage had sustained severe damage from previous surgeries. Structural stability was secured through septal reconstruction using autologous rib cartilage, and aesthetic improvement was achieved at the same time by raising the nasal bridge. Treating the rhinitis concurrently led to a satisfying result functionally as well.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #revisionrhinoplasty #autologousribcartilage #septalreconstruction #customrhinoplasty
Limitations and risks
When autologous rib cartilage is used, scarring and pain may remain at the donor site on the chest, and pneumothorax (pleural injury) can occur rarely. Over time, the grafted cartilage may warp or undergo partial resorption.
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.