Hello, I am Dr. Peter C. Kang.
Today, I will introduce a case where revision rhinoplasty using donor rib cartilage was performed to improve a crooked nose and rhinitis.
Front, left profile, and oblique views during design consultation
Right profile, oblique, and nostril views during design consultation
📍 Surgical history
August 2023: Nasal filler procedure
🔎 Initial consultation findings
Front view
Deviated nose
Nostril asymmetry
Flared nasal tip
2. Profile view
Flat bridge line
Impression of appearing long
3. Function
Rhinitis symptoms
Nasal obstruction
Severe deviated septum
Nasal endoscopy photos 1. Right side 2. Left side
✨ Patient's requests
Correction of crooked nose
Raising the nasal tip
Dorsal hump reduction
Desires a nose line that appears shorter
Preference for donor rib cartilage
💉 Surgical procedure details
Functional improvement
Septoplasty
Radiofrequency submucosal resection of the inferior turbinates
2. Structural improvement
Septal extension using donor rib cartilage and septal cartilage
Dorsal hump reduction
Adjustment of the nasolabial angle
3. Shape improvement
Filler removal
Adjusting tip height
Adjustment of radix position
Asymmetry correction
✅ 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
Balanced nostrils
Slimmer bridge line
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
2. Profile view
Elevated nasal tip
Lowered radix
Improved three-dimensional definition
Natural nasolabial angle
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
Reduction of rhinitis symptoms
Stable septal framework
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, 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.
This is a case where nasal obstruction caused by a severe deviated septum was corrected using donor rib cartilage. While simultaneously improving the crooked nose and rhinitis symptoms, we were able to achieve the shorter-appearing nose line the patient desired. In particular, adjusting the radix and correcting the nasolabial angle enhanced the overall balance.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #revisionrhinoplasty #donorribcartilage #crookednosecorrection #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.