Why the nose looks spread after nose filler without dissolving it, and how to create a slim line

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who wanted to refine a nose that looked spread out after receiving nose filler into a slim, well-defined shape.

• March 2020: Nasal filler injection (never dissolved)

1. Front view

• Nose appears wide and spread out

• Crooked nasal shape

• Alar asymmetry

• Bulbous nasal tip

2. Profile view

• Dorsal hump shape

• Protruding mouth findings

• Acute nasolabial angle

• Bulbous nasal tip

• Columellar line requires improvement

3. Nostrils

• Asymmetry with the left nostril being larger

• Overall imbalance

4. Nasal obstruction

• Rhinitis symptoms

• Improvement of a wide nose

• Overall slim contour

• Improvement of nasal obstruction

1. Structural improvement

• Correction of the widened and deviated nasal bridge using lateral osteotomy

• Nasal tip elevation using autologous rib cartilage

• Rasping of the dorsal hump

2. Shape improvement

• Improvement of protruding mouth through nasolabial angle correction

• Formation of a refined columellar line

• Natural adjustment of the width

3. Balance improvement

• Nasal sill reduction

• Correction of nostril asymmetry

• Securing overall harmony

4. Surgery to improve nasal obstruction

• Septoplasty

• Radiofrequency submucosal resection of the inferior turbinate

1. Front view

• Slimmer nasal line

• Correction of the deviated nasal bridge

• Balanced alar asymmetry

• Refined tip shape

2. Profile view

• Corrected dorsal hump

• Natural nasolabial angle

• Alleviation of protruding mouth

• Refined columellar line

3. Nostrils

• Improved nostril symmetry

• Balanced nasal sill

• Slim overall impression

For this type of case, the main goal was to refine a nose that looked spread out following filler injections into a sleek, slim contour. Because the septal cartilage was deviated and small, autologous rib cartilage was utilized, and lateral osteotomy was used to naturally bring the widened nasal bridge together. In particular, by rasping the dorsal hump and performing nasal sill reduction, we were able to achieve the slim profile line the patient desired. Correcting the nasolabial angle also improved the appearance of the protruding mouth, yielding an overall harmonious outcome.

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

Thank you.

#closedrhinoplasty #revisionrhinoplasty #widenosecorrection #slimnose #customrhinoplasty