Nose with remaining filler and threads: how much can rib cartilage reconstruction achieve after removal?

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who was dissatisfied with the nasal shape after receiving nose filler 7 years ago and underwent rhinoplasty to achieve a well-defined, dramatic line.

• 7 years ago: nasal filler + nasal thread-lifting procedure

1. Front view

• Low nasal bridge

• Small and blunt shape

• Wide nose

• Nasal bridge asymmetry (from filler)

• Crooked appearance

2. Profile view

• Low nasal bridge

• High radix

• Uneven bridge contour

• Protruding mouth findings

3. Nostrils

• Asymmetry

4. Special considerations

• Residual filler present

• Very low skin elasticity and minimal stretch

• Desired a prominent, dramatic nasal contour

• Defined nasal line

• Correction of nasal bridge asymmetry

• Improvement of the crooked appearance

1. Foreign material removal

• Safe removal of existing filler

• Removal of nasal threads

2. Structural reconstruction

• Use of donor rib cartilage (patient preference)

• Combined use of septal cartilage

• Formation of a sturdy tip support structure

3. Shape improvement

• Achieving a dramatic look by utilizing the height differential between bridge and tip

• Correction of nasal bridge asymmetry

• Correction of the crooked appearance

• Improvement of protruding mouth through nasolabial angle correction

1. Front view

• Improvement of bridge symmetry

• Straightened nasal line

• Appropriate nasal tip width

2. Profile view

• Refined nasal profile through the height contrast between bridge and tip

• Improvement of bulbous nasal tip

• Correction of the nasolabial angle

• Improvement of protruding mouth

3. Nostrils

• Improvement of asymmetry

• Improvement of bulbous nasal tip

4. Overall changes

• Maximally prominent contour within the limits of the skin envelope

• Stable framework planned with safety in mind

• Harmonious overall proportions

This was the case of a patient seeking a prominent nasal shape after experiencing dissatisfaction following filler and thread procedures. An especially critical factor was that the patient's skin had almost no stretch, which placed a clear limitation on elevating the nasal tip excessively.

Taking these constraints into account, we chose an approach that achieved a distinct, defined look by utilizing the height difference between the bridge and tip. According to the patient's request, donor rib cartilage was used alongside septal cartilage to elevate the tip on a strong framework, while simultaneously correcting the bridge asymmetry and crooked appearance.

This was a case where a satisfactory outcome could be achieved within safe limits by making the most of the patient's unique anatomical conditions.

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

Thank you.

#closedrhinoplasty #rhinoplasty #dramaticnose #donorribcartilage #customrhinoplasty