2026-05-25
Male Rhinoplasty Revision!
A case study of a male patient in his 20s who underwent rhinoplasty revision to correct a deviated and drooping nasal tip using donated rib cartilage.
* Basic Information
# Male in his 20s
# Previously underwent rhinoplasty using septal cartilage, but the nose appeared deviated to one side. Over time, the nasal tip drooped, causing the bridge to look convex or bumpy.
* Consultation
# The patient visited due to two main issues following his initial surgery with septal cartilage: 1. Progressive deviation of the nasal tip and 2. A drooping tip that made the bridge appear protruded.
# Since the septal cartilage had already been used, we planned to proceed with the surgery using donated rib cartilage.
* Surgical Plan
# Nasal Tip Surgery (Correction of deviation & drooping tip)
# Nasal Bridge Surgery (Implant replacement)
* Intraoperative Findings
# Severe scar tissue was present; it was thoroughly removed, and the area was irrigated with an anti-scarring agent.
# The septum was deviated, and the previous septal extension graft was weakly fixed to that area. This was the primary cause of the deviated nasal tip.
# The septum was reconstructed. Using the existing septal cartilage combined with new donated rib cartilage, a sturdy septal pillar was newly created.
# Additional cartilage was grafted onto this strong pillar to increase the height of the nasal tip.
# When performing revision surgery, it is crucial to establish a perfect plan and prepare thoroughly beforehand. One must consider various variables in advance to respond flexibly to unexpected situations that may arise during surgery!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE coming from rich experience.
Dr. Yoo Young-moon, Representative Director of Vibe Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases should men consider revision rhinoplasty?
Revision rhinoplasty can typically be considered when unsatisfactory results appear after a previous nose surgery, such as a crooked or drooping nasal tip, or a bulging nasal bridge. In particular, revision surgery is performed for problems that occurred after using the septal cartilage.
What cartilage is used for revision rhinoplasty?
If septal cartilage was already used in a previous surgery, donor rib cartilage can be used to reconstruct the nasal tip and create a strong support structure. The appropriate material is selected based on the patient's condition.
How is a crooked nasal tip corrected during revision rhinoplasty?
A crooked nasal tip can be corrected by reconstructing a strong septal column using the existing septal cartilage and new donor rib cartilage. This ensures stable support for the nasal tip.
What is the most important aspect of male revision rhinoplasty?
For revision surgery, it is most important to plan and prepare perfectly before the surgery. Various variables should be considered in advance to flexibly respond to unexpected situations that may arise during surgery.
What side effects can occur after revision rhinoplasty?
Various complications and side effects such as bleeding, inflammation, infection, and asymmetry can occur after surgery. These may vary from person to person, so it is important to be fully aware of them and take precautions before surgery.