Crooked Nose Revision (Autologous Rib Cartilage), Functional Rhinoplasty

* Basic Information

# Female in her 30s

# Several years ago, she underwent nose surgery using septal cartilage, donated rib cartilage, and a silicone implant. However, the nose appeared too high, so the silicone implant was removed. Since then, she desired to improve her flat nasal bridge, and also wished to correct her crooked nose and uncomfortable breathing.

* Consultation

# She wanted to improve the appearance of her flat nasal bridge after the removal of the silicone implant.

# Although she had undergone tip surgery using septal and donated rib cartilage, over time, her columella gradually became crooked, and one nostril was blocked, causing uncomfortable breathing, which was also a complaint.

# A pre-operative CT scan revealed severe deviation, so it was planned to correct it using autologous rib cartilage.

* Plan

# Nasal Tip Plasty (Crooked Nose & Columella Correction)

# Nasal Bridge Plasty (Implant)

# Functional Rhinoplasty

* Intraoperative Findings

# Severe scar tissue was thoroughly removed, and the area was irrigated with a scar tissue prevention agent.

# The septum was severely deviated, and the septal extension graft in that area was weakly fixed. This was the cause of the crooked nasal tip.

# The septum was newly reconstructed using autologous rib cartilage. By improving the deviated septum, the nasal congestion symptoms were also corrected.

* Postoperative Findings

# Can you see the improvement in the crookedness of the nasal tip columella?

# Autologous rib cartilage is usually harvested from the 7th-8th rib cartilage, and there is mild pain for about 2-3 days after harvesting. After about 1 week, recovery is sufficient for daily activities.

# When performing revision surgery, it is crucial to plan and prepare perfectly before the operation. Considering various potential variables in advance allows for flexible responses to unexpected situations that may arise during surgery ~!

Consultation and surgery should be performed by a board-certified plastic surgeon!

Take care of both your health and beauty today :)

Right Mind, Right Plastic Surgery, Dr. Youngmoon Yoo

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may vary depending on the individual after surgery and require caution.

Frequently Asked Questions

In what cases should revision surgery for a crooked nose be considered?

Revision surgery for a crooked nose can be considered if the bridge of the nose appears flat after a previous nose surgery, or if the nose is crooked and breathing is uncomfortable. Especially if the columella is deviated and one nostril is blocked, improvement can be expected through revision surgery.

What materials are mainly used for revision surgery for a crooked nose?

In this case, due to the severe degree of deviation shown in the CT scan, autologous costal cartilage was used for the correction plan. Autologous costal cartilage is the patient's own cartilage, so there is less rejection and good support.

What about pain and recovery time after autologous costal cartilage harvesting?

Autologous costal cartilage is usually harvested from the 7th-8th ribs, and there may be minor pain for about 2-3 days after harvesting. After about a week, recovery is possible without significant problems in daily life.

Can nasal congestion also be improved during revision nose surgery?

Yes, it can be improved. If severe deviation of the nasal septum causes nasal congestion, the deviated septum can be improved and nasal congestion symptoms can also be corrected by reconstructing the septum with autologous costal cartilage.

What is the most important point in revision nose surgery?

When performing revision surgery, it is very important to plan and prepare perfectly before the surgery. Considering various variables in advance allows for flexible responses to unexpected situations that may arise during surgery.