When reviewing improvements in breathing, it is important to separate what was uncomfortable before surgery from what was recorded after surgery. Cases include a patient who reported a crooked appearance and difficulty breathing on the right side following treatment for a nasal bone fracture, and a patient who presented with a crooked nose and nasal obstruction, with imaging confirming a deviated septum. These are records where cosmetic and breathing concerns were present together.
This collection includes an article that addresses dissatisfaction with past fat grafting and thread lifts while also examining nasal obstruction. This topic connects both the initial request to improve breathing and the functional observations made afterward. Rather than interpreting a statement of hope as an already improved breathing outcome, we examine the actual procedures performed and the follow-up explanations separately.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Patient goals
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Patient goals
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Postoperative record
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Patient goals
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Postoperative record
Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.
Patient goals
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Patient goals
Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.
Patient goals
In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.
Patient goals · Postoperative record
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Patient goals
Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.
Patient goals
A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.
Patient goals
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Patient goals
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Patient goals
In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.
Patient goals
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Patient goals
Septal support lost in previous surgeries was reconstructed with autologous rib cartilage, and pinched alae and depressed nasal bridge areas were reinforced to correct an upturned nasal tip and nostril show.
Patient goals
A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.
Patient goals
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A statement that a patient experienced breathing discomfort or sought improvement before surgery is a record of the patient's concerns. It must be distinguished from descriptions of post-operative breathing. Because both types of records are linked on this page, checking whether actual functional surgery and subsequent follow-up observations are documented helps prevent confusing a request with an outcome when reviewing cases.
There are records of patients presenting with a nose that appeared crooked and breathing discomfort on the right side after fracture reduction, as well as cases presenting with both a crooked nose and nasal obstruction where imaging confirmed a deviated septum. These are cases where external appearance and functional symptoms occurred together. Rather than judging the breathing status from photographs alone, it is helpful to read the symptom descriptions alongside the examination and surgical explanations.
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