Revision Rhinoplasty for Deviated Nose

* Patient Information

# Female in her 30s

# Underwent rhinoplasty using septal cartilage several years ago, but the nose has gradually become more deviated.

* Consultation

# Although she had surgery using her septum, her main concern was that the nose became increasingly crooked and deviated over time. She also felt that the nasal tip was gradually drooping.

# We planned to correct the deviated nose and drooping tip using donated rib cartilage.

* Surgical Plan

# Tip Plasty (Correction of deviated nose, drooping tip, and nostrils)

# Bridge Rhinoplasty (Correction of implant deviation)

* Intraoperative Findings

# There was significant scar tissue, which was cleanly removed, and the area was irrigated with an anti-scarring agent.

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

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

* Postoperative Findings

# You can see that the deviated nose has been straightened and the drooping tip has been sufficiently resolved, right?

# When performing revision surgery, it is crucial to set 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!

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

The ‘VIBE’ that comes from rich experience.

Vibe Plastic Surgery Clinic, Chief Surgeon Young-moon Yoo

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is required.

Frequently Asked Questions

When should I consider revision surgery for a crooked nose?

Yes, you can consider revision surgery for a crooked nose when problems such as the nose gradually becoming crooked or distorted over time after a previous nose surgery, or the nasal tip dropping, occur. The patient in this case also worried about a crooked nose and a drooping nasal tip several years after their initial nose surgery.

What cartilage is used during revision surgery for a crooked nose?

Various cartilages can be used during revision surgery for a crooked nose, depending on the patient's condition. In this case, a strong septal column was newly created using donated costal cartilage along with the existing septal cartilage.

Can a drooping nasal tip also be corrected with revision surgery for a crooked nose?

Yes, a drooping nasal tip can be sufficiently corrected through revision surgery for a crooked nose. In this case, satisfactory results were obtained by correcting the crooked nose and resolving the drooping nasal tip issue.

How is scar tissue handled during revision surgery for a crooked nose?

If scar tissue is severe during surgery, it is thoroughly removed and cleaned using a scar tissue prevention agent. This is an important process for successful revision surgery.

What side effects can occur after revision surgery for a crooked nose?

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery. These side effects can vary from person to person, so sufficient consultation and caution are required before surgery.