Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who improved a crooked nose and drooping bulbous tip that developed after dorsal hump correction.

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Front, left profile, and oblique views during design consultation
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Front, left profile, and oblique views during design consultation
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Front, left profile, and oblique views during design consultation

Front, left profile, and oblique views during design consultation

📍 Surgical history

  • 20 years ago: Dorsal hump correction in the United States

  • 6 years ago: Septum + dorsal hump correction + osteotomy

🔎 Initial consultation findings

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Design consultation: right oblique, profile, and basal (nostril) views
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Design consultation: right oblique, profile, and basal (nostril) views
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Design consultation: right oblique, profile, and basal (nostril) views

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

  1. Front view

  • Crooked nasal bone

  • Wide nasal width

  • Bulbous nasal tip

2. Profile view

  • Drooping tip

  • Bulbous nasal shape

  • Dorsal hump

3. Nostrils

  • Nostril asymmetry

  • Columella tilted to the left

✨ Patient's requests

  • Correction of deviated nose

  • Natural, moderate height

  • Slimmer nasal width

💉 Surgical procedure details

  1. Structural improvement

  • Crooked nose correction through lateral osteotomy

  • Septal extension using autologous rib cartilage

  • Maintaining an appropriate height that is not excessively high

2. Shape improvement

  • Elevating the nasal tip to reduce nasal width

  • Improvement of bulbous nasal tip

  • Correction of the nasolabial angle

  • Securing nostril symmetry

  • Correction of tilted columella

3. Functional improvement

  • Rhinitis surgery

  • Septoplasty

  • Improvement of nasal obstruction

✅ Surgical results

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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 bridge

  • Slimmer nasal width

  • Refined nasal tip

  • Correction of hanging columella

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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

  • Improvement of a drooping tip

  • Natural height

  • Correction of dorsal hump

  • Correction of the nasolabial angle

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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. Nostrils

  • Improved nostril symmetry

  • Straightened columella

  • Balanced overall structure

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.
Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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 nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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 nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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 nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — 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.

In this type of case, although the patient had undergone dorsal hump correction 20 years ago and an additional surgery 6 years ago, concerns such as a crooked nose, dorsal hump, and blunt nasal tip still remained.

Through lateral osteotomy, the crooked nose was corrected, the dorsal hump was improved, and a slimmer nasal width was achieved without being excessively high, tailored to the patient's requests. In particular, the blunt nasal tip was refined and the nasolabial angle was corrected, achieving an overall harmonious result.

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 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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