Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who decided to undergo revision rhinoplasty due to concerns about a crooked nose and a drooping tip.

Why a previously operated nose can look crooked and develop a drooping tip — Front, left profile, and oblique views during design consultation
Why a previously operated nose can look crooked and develop a drooping tip — Front, left profile, and oblique views during design consultation
Why a previously operated nose can look crooked and develop a drooping tip — Front, left profile, and oblique views during design consultation

Front, left profile, and oblique views during design consultation

📍 Surgical history

Why a previously operated nose can look crooked and develop a drooping tip — Design consultation: right oblique, profile, and basal (nostril) views
Why a previously operated nose can look crooked and develop a drooping tip — Design consultation: right oblique, profile, and basal (nostril) views
Why a previously operated nose can look crooked and develop a drooping tip — Design consultation: right oblique, profile, and basal (nostril) views

Design consultation: right oblique, profile, and basal (nostril) views

  • 5 years ago: Donor rib cartilage + septal cartilage + silicone implant + dorsal hump reduction

  • History of nasal filler (scheduled for removal during surgery)

✨ Patient's requests

  • Correction of crooked nose

  • Improvement of bulbous nasal tip

  • Improvement of a drooping tip

  • Appropriate nostril show

  • Correction of the nasolabial angle

💉 Surgical procedure details

  1. Surgical plan

  • Overall condition assessment

  • Analysis of the crooked nose taking facial asymmetry into account

  • Removal of previous nasal filler

  • Nasal tip correction with autologous rib cartilage

  • Correction of the crooked nose with lateral osteotomy

  • Refinement of the nasal bridge line with a new silicone implant

2. Structural improvement

  • Correction of crooked nose

  • Reconstruction of tip cartilage

  • Adjustment of the nasolabial angle

3. Shape improvement

  • Refinement of the bulbous tip

  • Adjustment of nostril shape and symmetry

  • Adjustment of overall nasal proportions

✅ Surgical results

Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

  1. Front view

  • Straightened nasal line

  • Improved symmetry

  • Natural width

Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

2. Profile view

  • Refined nasal tip

  • Improvement of the drooping tip

  • Improved nasolabial angle

Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

3. Overall changes

  • Harmonious proportions

  • Stable structure

  • Natural line

Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

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

👨⚕️ Specialist's assessment

Why a previously operated nose can look crooked and develop a drooping tip — Photos immediately after surgery (day 0): front, profile, and oblique views. Photos taken immediately after surgery show swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Photos immediately after surgery (day 0): front, profile, and oblique views. Photos taken immediately after surgery show swelling and may differ from the final result.
Why a previously operated nose can look crooked and develop a drooping tip — Photos immediately after surgery (day 0): front, profile, and oblique views. Photos taken immediately after surgery show swelling and may differ from the final result.

Front, profile, and oblique views immediately after surgery on day 0 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.

This was the case of a patient troubled by a crooked nose and a drooping tip, and the procedure was performed after a thorough analysis of the overall condition with careful consideration of facial asymmetry. Along with removing the existing nasal filler, correcting the crooked nose and bulbous tip yielded a refined result.

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

Thank you.

#closedrhinoplasty #revisionrhinoplasty #tiprhinoplasty #naturalnose #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 foreign materials such as injected fillers are removed and reconstructed, contracture may recur, 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.

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