Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who was concerned about a wide nasal tip, rhinitis, and a deviated septum.

Past surgical history: Hiko nose thread lift with filler 1 year ago, thread touch-up late last year

Main concerns:

• Flared nasal tip

• Nasal bridge filler

• Deviated septum

• Nasal obstruction due to rhinitis

Key notes: A case addressing both functional problems (nasal obstruction) and aesthetic concerns together

• Improvement of a wide nasal tip

• Prominent, refined nasal contour

• Previous filler carefully removed

• Functional improvement: Relief of rhinitis and nasal obstruction

1. Foreign body removal

During surgery, the filler on the nasal bridge was carefully removed. Because foreign materials can cause contracture or deformation over the long term, removing them and reconstructing with autologous tissue provides a reliable foundation.

2. Nasal tip correction using autologous rib cartilage

The wide nasal tip was precisely refined using autologous rib cartilage. Using one's own cartilage supports a long-lasting, stable result without concerns about resorption or deformation.

3. Septoplasty

The deviated septum was corrected to relieve nasal obstruction. When the septum is deviated, the airway narrows, resulting in chronic nasal obstruction.

4. Submucosal resection of the inferior turbinates

The hypertrophic inferior turbinate mucosa was reduced using radiofrequency. Reducing the turbinates that were swollen from rhinitis improved airflow while minimizing bleeding and discomfort.

• Wide nasal tip precisely refined

• Filler carefully removed and reconstructed with autologous tissue

• Nasal obstruction relieved through septoplasty (functional improvement)

• Rhinitis symptoms improved through inferior turbinate reduction

• An overall refined and well-balanced nose achieved

This case required resolving functional and cosmetic issues at the same time.

The importance of foreign material removal:

Foreign materials such as fillers or threads may feel satisfactory early on, but over time they can cause problems such as contracture, deformation, and inflammation. Removing them carefully and reconstructing the nose with autologous tissue supports long-term structural stability.

The key to wide tip correction:

A wide nasal tip cannot be fundamentally resolved simply by tying sutures or trimming cartilage. Reconstructing the structural framework of the nasal tip using autologous rib cartilage allows for a refined, well-defined tip shape.

Harmonizing function and aesthetics:

In nasal surgery, functional aspects are just as critical as cosmetic refinement. When nasal obstruction is relieved through septoplasty and inferior turbinate reduction, quality of life improves significantly. Breathing becomes easier while achieving a pleasing nasal contour at the same time.

I will continue to provide customized surgery planned to address both functional and aesthetic aspects for our patients.

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

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