Hello, I am Dr. Peter C. Kang.
Today, I would like to share the case of a patient who underwent functional rhinoplasty to improve an unnatural nasal shape and nasal obstruction following multiple nasal filler procedures.
Front, left profile, and oblique views during design consultation
Right profile, oblique, and nostril views during design consultation
📍 Surgical history
10 years ago: Received multiple injections of dissolvable filler
🔎 Initial consultation findings
Front view
High glabella
Wide nose
Bulbous and upturned nasal tip
2. Profile view
High radix
Upturned nasal tip
3. Nostrils
Left-right asymmetry
Widened nasal shape
Nasal endoscopy photos: 1. Right side 2. Left side
4. Function
Left septal deviation
Bilateral inferior turbinate hypertrophy
Nasal obstruction symptoms
✨ Patient's requests
💉 Surgical procedure details
Functional nasal surgery
Septoplasty for deviated septum
Radiofrequency submucosal resection of the inferior turbinates
2. Structural improvement
Foreign body removal from the nasal bridge
Septal extension using septal cartilage and donor rib cartilage
Creating a natural nasal bridge with a silicone implant
3. Shape improvement
Correction of a wide tip
Stabilizing the upturned nasal tip
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
Natural glabellar height
Slimmer nasal line
Improved tip 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
Smooth radix
Stable tip position
Natural height
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
3. Function
Improvement of nasal obstruction
Improvement of rhinitis symptoms
Stable structure
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
👨⚕️ Specialist's assessment
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 a complex case where aesthetic dissatisfaction from multiple filler treatments was accompanied by a deviated septum and hypertrophic rhinitis. Along with septal surgery for functional improvement, we created a sturdy and stable nose using donor rib cartilage. In particular, we were able to achieve a satisfying result by naturally correcting the upturned appearance of the nasal tip and the widened shape.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #revisionrhinoplasty #upturnednosecorrection #rhinitissurgery #customrhinoplasty
Limitations and risks
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.