Hello, I am Dr. Peter C. Kang.
Today, I would like to share the case of a patient who underwent autologous rib cartilage reconstruction to correct a deviated nose and a protruding mouth.
Front, left profile, and oblique views during design consultation.
📍 Surgical history
2009: Silicone implant + septal cartilage
🔎 Initial consultation findings
Right profile, oblique, and nostril views during design consultation.
Front view
Deviated nose
Nasal bridge implant show-through
Blunt and broad nasal tip
Pinched appearance on the left side of the nasal tip
Nostril asymmetry
2. Profile view
Long nasal shape
Protruding mouth observed
Drooping nasal tip
3. Oblique view
Protruding mouth findings
Overall unnatural appearance
4. Functional problems
Pooling of nasal discharge
💉 Surgical procedure details
Removal of previous materials
Careful removal of the Gore-Tex used in the nasal tip
Debridement of damaged tissue
Removed Gore-Tex
2. Structural reconstruction
Septal reconstruction using autologous rib cartilage
Strengthening the basic nasal framework
Cartilage reinforcement using autologous rib cartilage to correct the nasolabial angle
3. Shape improvement
Correction of crooked nose
Natural refinement of the nasal tip shape
Securing nostril symmetry
✅ 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
Resolution of implant show-through
Transition to a natural nasal tip shape
Resolution of the pinched nasal tip
Securing nostril symmetry
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 of protruding mouth through nasolabial angle correction
Creation of a smooth profile line
Natural adjustment of nasal length
Improvement of drooping tip
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
3. Oblique view
Balanced three-dimensional definition
Improved overall harmony
Natural curvature
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
4. Nostril view
Symmetric nostril shape
Refined tip shape
👨⚕️ Specialist's assessment
In cases of this type, it was critical to address the issues caused by the Gore-Tex previously placed in the nasal tip. Because there was severe damage to the septal cartilage, reconstruction using autologous rib cartilage was essential. As a result, structural stability was secured while achieving the natural line desired by the patient.
This was Dr. Peter C. Kang. Thank you.
Thank you.
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.
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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 revising after implant removal, contracture may progress again after removal, the nasal height and length may decrease, and staged surgery may be necessary depending on the skin condition.
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.