When undissolved nasal filler spreads and sinusitis coexists: how removal and correction are performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who, after a long period of contemplation, decided to undergo surgery to address spread nasal filler and a long nose appearance.

• 5 years ago: Nasal filler injection (never dissolved)

• Nasal obstruction

• Frequent rhinorrhea

• 1 year ago: Diagnosed with sinusitis

• History of 1 month of medical therapy at an ENT clinic

• Improvement of spread nasal filler

• Dorsal hump correction

• Correction of a long-looking nose

• Natural and harmonious result

• Desire to maintain nasal height

1. Removal surgery

• Safe removal of existing nasal filler

• Smoothing and reduction of the dorsal hump

2. Structural improvement

• Natural adjustment of the seemingly long nasal length (lowering the radix, elevating the nasal tip)

• Septoplasty

• Overall natural proportions

3. Functional improvement

• Septoplasty

• Surgery to reduce the volume of the hypertrophied inferior turbinates

• The nasal cavity is expected to widen in a balanced manner, preventing sinusitis from worsening

1. Front view

• Improvement of the spread nasal bridge line

• Clean, refined nasal bridge line

• Natural width

• Correction of the blunt nasal tip

2. Profile view

• Natural lowering of the glabella starting point

• Correction of the long nose appearance

• Correction of the blunt and drooping nasal tip

3. Function

• Improvement in nasal obstruction and rhinorrhea is expected

• Sinusitis symptoms are expected to decrease

In this surgical case, which was decided after 10 years of careful deliberation, both the patient's expectations and concerns had to be addressed. In particular, because the patient was concerned about a loss of nasal height after filler removal, the focus was placed on safe filler removal while maintaining a natural height. By preventing the recurrence of sinusitis while correcting aesthetic aspects such as the dorsal hump and long nose, a satisfying outcome was achieved in both function and aesthetics.

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

Thank you.

#closedrhinoplasty #nasalfillerremoval #sinussurgery #naturalnose #customrhinoplasty