<Front view - before surgery: implant deviation, pinched nose, upturned nostrils / after surgery: nostrils and columella were lowered well, but asymmetry remained. Visibility of the implant on one side did not improve><Nostril and alar asymmetry developed><The implant visibility along the nasal bridge became worse><There is a large difference between the left and right nasal tip shapes><The side-view nasal line, columella, and nostril shape improved well><Overall asymmetry developed after surgery>I think the post would get too long if I wrote it in narrative form, so I’ll summarize only the important points. <First surgery> 2008, another hospital Silitex implant Septal extension Alar reduction, tip suturing Osteotomy <Problems before surgery> - Asymmetry and visibility of the existing implant - Calcification of the nasal bridge - As time passed, the nose became shorter and upturned. - The nostrils showed a lot - Pinched nose - Because it had a straight nasal line, it looked masculine. <Surgical plan> - Replace the implant and improve asymmetry - Create a straight-to-slightly-curved line, with the nasal tip not too sharp but rounded - Reduce the spread-looking part of the alae - Remove calcification - Lower the nostrils and columella to improve the upturned nose - Create a feminine straight-to-slightly-curved line <Surgical details> 1. Replaced the existing nasal implant (Silitex 4.5 mm -> silicone 4 mm) 2. Used autologous costal cartilage. Since the nasal support structure had completely resorbed, the director rebuilt the support and performed septal extension. 3. Alar reduction 4. Lowered the nostrils and columella with autologous costal cartilage 5. After removing calcification from the nasal bridge, transplanted perichondrium to the thinned skin The surgery took about three and a half hours, and the suturing of the rib-cartilage donor site and open rhinoplasty incision was very clean, so I didn’t develop major scars and healed well. <Improvements after 6 months> - The calcification was removed cleanly, and the graft to the thinned skin also took well. - From the shortened nose, the nasolabial angle was adjusted beautifully. - Nostril show from the front improved a lot. - The three-quarter line improved from a straight nose to a straight-to-slightly-curved line. <Disappointments after surgery> - Exposure of the nasal bridge bone on one side due to implant asymmetry that did not improve after revision surgery - Asymmetry of the silicone nasal bridge/alae and protrusion of one nasal bridge bone make the nose overall look asymmetrical, with one side appearing sunken. The nose bends like “(”. - Because of nostril and alar asymmetry, there is a large difference between the left and right nasal lines. - Overall frontal asymmetry The hospital said the asymmetrical areas were probably swelling and told me to observe the progress, so I’ve lived with it until now. The severe asymmetry does look a little less noticeable, but even after the swelling went down, the asymmetry did not improve. Before the revision surgery, my nasal support structure had completely resorbed, and because there was calcification in the nasal bridge area, the surgery must have been very difficult... Of course, there are areas that improved, but the asymmetry was not corrected, and new asymmetry that I didn’t have before appeared. If only the asymmetry had been corrected well, it would have been so good..... It ended up being a surgery that left me with a lot of regret. # This post was written based on my own experience and surgical outcome as a subjective opinion, and surgical results vary by individual.
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Revision rhinoplasty lowering nostrils crooked nose asymmetrical nose
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This review is for surgery pursuing a natural yet refined look.