Why a crooked nose and dorsal hump appear together, and how to approach male rhinoplasty

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a male patient in his early 20s who visited our clinic seeking help for a crooked nose, a dorsal hump, and nasal obstruction.

The patient was undergoing nasal surgery for the first time, with no prior surgical history. On the front view, the nasal bridge deviated to one side, and on the profile view, the mid-dorsum showed a prominent dorsal hump. Along with these aesthetic concerns, nasal obstruction caused by a deviated septum required simultaneous functional improvement. In addition, the columella was retracted, resulting in an unfavorable nasolabial angle on the profile view.

The patient's primary concerns were as follows:

• Wished to straighten the noticeably crooked nose seen on the front view

• Wished to smoothly improve the prominent dorsal hump seen on the profile view

• Wished to resolve chronic nasal obstruction symptoms

As a male patient, he particularly desired a natural, masculine nasal contour rather than an excessively high or artificial appearance.

Taking into thorough consideration the patient's condition and requests, the surgery was performed as follows.

1. Lateral osteotomy of the nasal bones

• Shifted the deviated nasal bones to the right to properly align the midline of the nasal bridge on the front view

• Simultaneously trimmed the prominent portion of the dorsal hump to create a smooth bridge line

2. Nasal tip rhinoplasty using donor rib cartilage and septal cartilage

• Utilized donor rib cartilage alongside the patient's own septal cartilage to build a solid structural support for the nasal tip

• Established a masculine yet natural tip height and angle

3. Deviated septum and rhinitis surgery

• Corrected the deviated septum and performed concurrent rhinitis surgery to address the root cause of the nasal obstruction symptoms

4. Insertion of a customized silicone implant

• Placed a silicone implant precisely sculpted to fit the contour of the patient's nasal bones, achieving a natural bridge height

5. Correction of retracted columella and nasolabial angle

• Lowered the retracted columella to an appropriate position to refine the profile silhouette

• Adjusted the angle between the nose and upper lip appropriately to create a refined profile

Front view changes:

• The nasal bridge that deviated to one side was aligned with the midline

• Achieved an overall straight, well-balanced nasal contour

Profile view changes:

• The prominent dorsal hump was smoothly corrected

• Secured a natural, unexaggerated bridge height

• The retracted columella was corrected and the nasolabial angle adjusted, completing a refined profile line

• Masculine and refined profile line

Functional improvement:

• Relief of nasal obstruction symptoms through correction of the deviated septum

• Improved breathing function through concurrent rhinitis surgery

The most important factor in male rhinoplasty is naturalness. Unlike female rhinoplasty, an excessively high or overly sharp line can create an awkward impression, so the balance with the overall facial structure must be carefully considered.

In this type of case, multiple issues—including a crooked nose, dorsal hump, nasal obstruction, and a retracted columella—were addressed simultaneously in a single surgery. The nasal bones were repositioned through osteotomy, firm tip support was established using donor rib cartilage and septal cartilage, and a natural bridge line was achieved with a custom-sculpted implant. By correcting the retracted columella and refining the nasolabial angle, a balanced and refined profile silhouette was successfully created.

I hope this case helps those who are considering male rhinoplasty.

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

#malerhinoplasty #crookednosecorrection #dorsalhumpcorrection #nasalobstructionsurgery #deviatedseptum #closedrhinoplasty #menrhinoplasty #osteotomy #nasolabialanglecorrection