Non-Implant Rib Cartilage Rhinoplasty for Dorsal Hump, Crooked Nose, and Rhinitis & Case Review by Dr. Yoo Young-moon, Vibe Plastic Surgery (Sinnonhyeon Station)

Hello.

This is Dr. Yoo Young-moon of Vibe Plastic Surgery.

Today's case is a woman in her 30s who underwent a "Non-Implant & Rib Cartilage Functional Rhinoplasty."

Fillers and thread lifts (such as Barbi-co) are simple procedures, but they have limits when it comes to fixing fundamental structural issues such as a dorsal hump, crooked nose, or drooping nasal tip.

The woman in her 30s who visited us this time

had already tried several procedures but was not satisfied with the results, so she came to Vibe Plastic Surgery.

She was dealing not only with stress about her appearance but also with significant difficulty breathing due to chronic rhinitis.

1. Key Concerns Before Surgery

Appearance concerns: A dorsal hump, a long-looking nose with a drooping tip, a nose that bends to one side, and wide-looking nostril wings

Functional concerns: Nasal congestion and breathing discomfort caused by chronic rhinitis and septal deviation

2. Customized Surgical Solution

To improve both appearance and breathing function at the same time, we performed a fully customized 1:1 surgery as follows.

Nasal bridge (non-implant & dorsal hump correction)

: Instead of an artificial implant, we finely refined the protruding hump and smoothed out the nasal bridge line.

Nasal tip (correction of long nose, bulbous tip, and crooked nose)

: We lifted the drooping nasal tip and slimmed down the bulky, bulbous look.

: We corrected the nasolabial angle formed by the upper lip and nose tip, adding a sleek, three-dimensional refinement.

Nostril wings (non-incision alar reduction)

: To minimize scarring, we used a non-incision approach to naturally narrow the wide-looking nostril wings.

Materials and support (use of rib cartilage)

: Because the septal cartilage was severely bent, we used rib cartilage to build a sturdy support pillar.

: This allowed us to straighten the crooked nose and keep it firmly in place for the long term.

3. Functional Improvements: How Did Breathing Get Better?

In combined rhinoplasty, improving the quality of breathing is just as important as the aesthetic change.

Securing smooth airflow through septal deviation correction

: We straightened the bent septum and significantly widened the nasal airway that had been obstructed.

Improvement of chronic nasal congestion and rhinitis symptoms

: As the internal structure returned to normal, the stuffy feeling from rhinitis, mouth breathing, and discomfort during sleep were all greatly reduced.

Perfect harmony of appearance and function

: Because the internal structure was rebuilt sturdily with rib cartilage, it helps prevent the nasal tip from drooping again or the septum from bending again over time.

Front view of the nose, before (left) and after (right) the rhinoplasty, with the eyes blurred for privacy.

Angled (45°) view of the nose facing left, before (left) and after (right) the rhinoplasty.

Side profile of the nose facing left, before (left) and after (right) the rhinoplasty.

Angled (45°) view of the nose facing right, before (left) and after (right) the rhinoplasty.

Side profile of the nose facing right, before (left) and after (right) the rhinoplasty.

4. Post-Surgery Results and Summary

After surgery, the patient was very satisfied, saying, "The shape is now so natural and defined that I no longer need to look into nose fillers or thread lifts."

In particular, she told us, "I like the shape, but I never expected breathing through my nose at night to be this comfortable."

If you are struggling with a dorsal hump, crooked nose, or nasal congestion that cannot be solved with simple procedures alone,

we recommend a consultation for functional rhinoplasty that goes beyond cosmetic surgery and carefully analyzes the internal structure.

Frequently Asked Questions

What is non-implant rib cartilage rhinoplasty?

This is a method that builds the nasal structure using rib cartilage as support instead of artificial implants. In this case, rib cartilage was used as a pillar to support the bent septum, which straightened the crooked nose and helped it stay in place.

Can a dorsal hump or crooked nose be fixed with filler?

The article explains that fillers and thread lifts have limits when it comes to fixing fundamental structural problems. Although these procedures are simple, they are restricted when it comes to structural concerns such as a dorsal hump, crooked nose, or drooping nasal tip.

Can rhinitis or nasal congestion be improved with nose surgery?

The case described in the article reports that rhinitis and nasal congestion symptoms were greatly reduced after septal correction. Straightening the bent septum widened the blocked airway, and the patient reported less discomfort from mouth breathing and during sleep. We recommend a consultation to determine whether this applies to you.

How is functional rhinoplasty different from cosmetic nose surgery?

Functional rhinoplasty focuses on improving the quality of breathing alongside changes in appearance. The article emphasizes that the difference lies in carefully analyzing the internal structure to address both appearance and function together.

How long after surgery were the result photos taken?

The post-surgery photos in the article were taken 2 months after surgery. The patient said her appearance became natural and defined, and that breathing through her nose at night had become more comfortable.