Widened Nose After Double Jaw Surgery! What Should You Do?!

* Basic Information

# Female in her 20s

# Medical History: Double jaw surgery (+), repeated nose filler and Hiko (thread lift) procedures

# Current Condition: Her main concern was the nasal tip, which had widened and drooped like an ‘arrow nose’ following her double jaw surgery.

* Consultation

# She mentioned that despite repeated filler and Hiko treatments, she was always dissatisfied with her nasal tip.

# Furthermore, because she had undergone double jaw surgery, the base of the columella had weakened, causing the nasal tip to spread and droop even further.

# We planned to use rib cartilage to build a sturdy foundation and elevate the nasal tip.

* Plan

Bridge Rhinoplasty (Dissolving filler & removing Hiko threads, followed by an implant)

Tip Rhinoplasty (Bulbous nose and arrow nose correction)

* Intraoperative & Postoperative Findings

# Due to the double jaw surgery, there were severe mucosal adhesions and scar tissue, which were cleanly dissected.

# The nasal septum was severely deviated, so we reconstructed it using rib cartilage.

# By making the previously wide and drooping nasal tip more defined and upright, the patient achieved a much more youthful look. It was a very satisfying case :)

Consultations and surgeries should be performed by a board-certified plastic surgeon!

The VIBE that comes from extensive experience.

Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery

VIBE Plastic Surgery complies with all medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and can vary by individual; caution is advised.

Frequently Asked Questions

What causes the nose to widen after orthognathic surgery?

Yes, after orthognathic surgery, the columellar base can weaken, causing the nasal tip to widen and droop. In this patient's case, the columellar base was weakened due to orthognathic surgery, leading to a more widened and droopy nasal tip.

How can a widened nose after orthognathic surgery be corrected?

Yes, correction is possible. In this case, costal cartilage was used to firmly reconstruct the weakened columellar base and create a sharper nasal tip. Bridge augmentation, as well as correction for a bulbous nose and a hooked nose, were also performed.

Why is costal cartilage used for revision rhinoplasty?

Costal cartilage can be used to firmly support the nasal tip. In this case, due to the weakened columellar base and severely deviated septum caused by orthognathic surgery, costal cartilage was used to reconstruct the septum and strengthen the nasal tip.

Is revision rhinoplasty possible if I have previously had filler or Hiko procedures?

Yes, it is possible. This patient had also repeatedly received nose filler and Hiko procedures in the past. In the surgical plan, after dissolving the filler and removing the Hiko threads, bridge augmentation using an implant was performed.

Are there any precautions to take during revision rhinoplasty after orthognathic surgery?

Yes, there are precautions. In this case, due to severe mucosal adhesion and scar tissue caused by orthognathic surgery, a meticulous dissection process was required. Therefore, consultation with a plastic surgeon with extensive experience is important.