Why the septum deviates severely and becomes damaged, and how rib cartilage reconstruction is performed

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce a revision rhinoplasty case of a patient who was troubled by severe septal damage and significant deviation.

• 2 years ago: Rhinoplasty using a silicone implant and donor rib cartilage

In this situation, the patient visited our clinic with the following requests:

• Desired a glamorous nasal line

• Desired an appearance where the midface looks shorter

• Wished for an overall refined and beautiful nasal shape

The patient particularly had a strong desire for a glamorous nose, and the goal was to resolve the existing structural problems of the nose while creating the desired nasal line.

Upon examining the patient's septum, the damage was severe and it was significantly deviated, making structural reconstruction essential.

1. Septal reconstruction using autologous rib cartilage

• Harvested autologous rib cartilage to reinforce the damaged septum

• Straightened the deviated septum and reinforced solid structural support

• Established a stable foundation to elevate the nasal tip

2. Septal extension

• Extending the nasal tip based on the reconstructed septum

• Created the effect of making the midface appear shorter

• Creating a well-defined yet natural tip line

3. Nasolabial angle correction

• Adjusted the angle between the nose and upper lip on the profile view

• Completed a refined profile

• Improvement in overall facial balance

Front view changes:

• The crooked nose was straightened

• Nasal tip elevated cleanly and prominently

• An overall refined and glamorous impression

Profile view changes:

• Improvement in the angle between the upper lip and nose through nasolabial angle correction

• An effect of the midface appearing shorter due to proper elevation of the nasal tip

• Completion of a glamorous yet natural straight bridge line

Nostril view changes:

• Maintaining stable shape by reinforcing tip support

• Improvement of left-right symmetry

• Overall balanced nasal shape

When the septum is severely damaged or deviated, it is very important not just to correct the external appearance, but to firmly reconstruct the internal structure. This is because excessively elevating the nasal tip over a weakened septum can cause the nose to collapse or deviate over time.

In this surgery, autologous rib cartilage was used to solidly reconstruct the damaged septum, and the nasal tip was stably elevated on this foundation. Because autologous rib cartilage is the patient's own tissue, it is safe without rejection reactions, and its superior structural support maintains a stable shape for a long time.

While creating the glamorous nasal line that the patient desired, nasolabial angle correction also achieved the effect of making the midface look shorter. The most important factor in revision rhinoplasty is accurately identifying the existing problems and selecting the appropriate reconstruction method accordingly.

Going forward, I will continue to provide customized surgical procedures tailored to each individual patient's condition and requests. I hope this is helpful to those who share similar concerns. This was Medical Director Dr. Peter C. Kang. Thank you.

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