Deviated Nose and Drooping Tip (Revision Surgery)

* Basic Information

# Male in his 30s

# Previously underwent rhinoplasty using septal cartilage, but the nose appears deviated to one side. Over time, the nasal tip has dropped, making the bridge look bulging.

* Consultation

# The patient visited due to two main issues following a previous septal rhinoplasty: 1. A nasal tip that became increasingly deviated over time, and 2. A drooping nasal tip that caused the bridge to appear humped or bulging.

# The septum itself was deviated, and the accumulation of postoperative scar tissue was making the deviation appear even more pronounced.

* Surgical Plan

# Tip Plasty (Correction of deviated and drooping nasal tip)

# Bridge Rhinoplasty (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 it. This was the primary cause of the deviated nasal tip.

# The septum was reconstructed. A sturdy new septal pillar was created using the existing septal cartilage combined with new donated rib cartilage.

# 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!

Always seek consultation and surgery from a board-certified plastic surgeon!

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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

What was the main reason you decided to have revision rhinoplasty?

The patient decided to have revision surgery due to the tip of the nose appearing deviated to one side after the initial septal rhinoplasty, and the nasal tip drooping over time, making the bridge look bulging. This seemed to be exacerbated by a deviated septum and the accumulation of scar tissue.

What aspects were primarily corrected during the revision surgery?

During the revision surgery, the primary focus was on correcting the deviated nose and the drooping nasal tip through tip plasty, and reshaping the nasal bridge by replacing the implant. In particular, we concentrated on reconstructing the deviated septum and creating a strong column to raise the nasal tip.

What cartilage was used for nasal tip reconstruction?

For nasal tip reconstruction, a new strong septal column was created using both the existing septal cartilage and new donated costal cartilage. This reinforced the weakened fixation and resolved the issue of the nasal tip deviation.

What complications can occur during revision rhinoplasty?

After revision rhinoplasty, complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur. These complications can vary from person to person, so sufficient consultation and caution are necessary before surgery.

What is the most important consideration for revision surgery?

For revision surgery, it is most important 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.