Hello, I am Dr. Peter C. Kang.
Today, I would like to introduce the case of a patient who improved nasal shape changes caused by implant removal years after an earlier rhinoplasty.
Front, left profile, and oblique views during design consultation
📍 Surgical history
30 years ago: Silicone implant + ear cartilage + alar reduction
15 years ago: Revision rhinoplasty with silicone implant
4 years ago: Removal of silicone implant
🔎 Initial consultation findings
Front view
Bulbous nasal tip
Nose appearing crooked
Pinched appearance
Widened nasal bridge after implant removal
Design consultation: right oblique, profile, and basal (nostril) views
2. Profile view
Bulbous nasal tip
Depressed nasal bridge
Protruding mouth findings
Acute nasolabial angle
3. Nostrils
Apparent nostril asymmetry
Overall imbalance
✨ Patient's requests
Correction of deviated nose
Feminine result
Correction of nostril asymmetry
Nose that does not appear long
🤒 Other symptoms
Nasal endoscopy photo
Rhinitis
Itching sensation in the nose
💉 Surgical procedure details
Structural improvement
Nasal structural reconstruction using autologous rib cartilage
Correction of crooked nose
Restoring nasal bridge height using a silicone implant
2. Shape improvement
Refining a blunt nasal tip
Creating a feminine nasal bridge line
Natural improvement of pinched areas
3. Nostril improvement
Correction of nostril asymmetry
Achieving balanced proportions
Correction of the nasolabial angle
✅ 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
Improvement of crooked nose
Natural nasal bridge width
Feminine 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
Appropriate bridge height
Refined tip shape
Improved nasolabial angle
Alleviation of protruding mouth
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
3. Nostrils
Improved asymmetry
Balanced overall shape
Natural curvature
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 was a complex case that had undergone multiple changes since the primary surgery 30 years ago. In particular, improving the widened, depressed nasal bridge and the crooked nose that followed implant removal 4 years ago was the main priority. By harmoniously combining autologous rib cartilage and a silicone implant, structural stability was established while achieving the feminine, well-proportioned nasal shape the patient desired without appearing overly long.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #revisionrhinoplasty #crookednosecorrection #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 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.
Common potential risks include infection, bleeding, asymmetry, scarring, skin necrosis, and insufficient improvement; results vary depending on individual skin condition and previous surgical history.