2026-05-24
Deviated Nose Revision Surgery! (+ Fat Grafting)
Case study of a 20s female patient undergoing revision rhinoplasty for a deviated nose and high bridge, combined with forehead fat grafting for a feminine profile.
* Basic Information
# Female in her 20s
# Medical History: Two previous rhinoplasty procedures using septal cartilage and donated costal cartilage.
# Current Condition: The bridge is excessively high and the tip of the nose is severely deviated.
* Consultation
# The primary issues after two surgeries were a long, drooping columella and a central axis of the nasal tip that was severely deviated to the left. We planned to create a straight line by correcting the deviated nose.
# Despite a lack of volume in the forehead, the nasal bridge was too high, creating an ‘Avatar-like’ appearance. We planned to lower the bridge while adding volume to the forehead to create a more feminine look.
# Since a long nasal tip can make one look older than their actual age, we planned to create an appropriate tip shape and angle.
* Surgical Plan
# Bridge Rhinoplasty
- Implant replacement
# Tip Rhinoplasty
- Autologous rib cartilage
- Correction of deviated nose
- Correction of long nose (drooping columella)
# Forehead Fat Grafting
* Post-operative Progress
1. The 7th rib cartilage on the right side was harvested and used. Since autologous rib cartilage is harvested through a short incision of about 3cm, you do not need to worry much about scarring. In cases of severe deviation like this one, it is crucial to use strong cartilage, such as autologous rib cartilage, to ensure definitive correction.
2. Deviated nose surgery is a high-difficulty procedure, but patient satisfaction tends to be very high after surgery. This is because it resolves the crooked appearance from the front and straightens the central axis.
3. A satisfying result was achieved by correcting the long, drooping columella and creating an ideal nasal tip shape and angle.
4. When the forehead lacks volume, the face can appear flatter and longer. Combining the procedure with fat grafting can lead to even more satisfying results.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions and 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 kind of cartilage is used for revision surgery for a crooked nose?
Autologous costal cartilage can be used for revision surgery for a crooked nose. Especially for a severely crooked nose, it is mentioned that it is important to correct it firmly using strong cartilage like autologous costal cartilage.
Is revision surgery for a crooked nose a difficult surgery?
Yes, crooked nose surgery is considered a difficult surgery. However, after the surgery, the crooked line seen from the front is resolved and the central axis is straightened, resulting in high satisfaction.
Why is forehead fat grafting performed with nose surgery?
Forehead fat grafting can be performed with nose surgery when the forehead lacks volume, making the face appear flat and long. When the bridge of the nose is too high, giving an 'Avatar-like' impression, adding volume to the forehead can create a more feminine look.
How big is the scar when harvesting autologous costal cartilage?
Autologous costal cartilage is usually harvested using a short incision of about 3cm. Therefore, it is explained that there is no need to worry much about scars.
What kind of impression can a long nasal tip give?
A long nasal tip can give the impression of looking older than one's actual age. Therefore, it is mentioned that creating an appropriate nasal tip shape and angle is important.